| Family Connection Of Wadsworth | |
|
140 Wadsworth Rd Wadsworth OH 44281 | |
| (330) 730-7353 | |
| (330) 334-2235 |
| Full Name | Family Connection Of Wadsworth |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 140 Wadsworth Rd, Wadsworth, Ohio |
| Authorized Official Name and Position | Joanne M Holbert (OWNER/THERAPIST) |
| Authorized Official Contact | 3307307353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Connection Of Wadsworth 140 Wadsworth Rd Wadsworth OH 44281 Ph: (330) 730-7353 | Family Connection Of Wadsworth 140 Wadsworth Rd Wadsworth OH 44281 Ph: (330) 730-7353 |
| NPI Number | 1497060602 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Medicare PECOS PAC ID | 7214378686 |
|---|---|
| Medicare Enrollment ID | O20240516000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497060602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | SP 490 (Ohio) | Secondary |
| 106H00000X | Marriage & Family Therapist | M 09000007 (Ohio) | Primary |
| Provider Name | Joanne M Holbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700190410 PECOS PAC ID: 9436590684 Enrollment ID: I20240522003948 |
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