| Family Life Counseling & Psychiatric Services | |
|
151 Marion Ave Mansfield OH 44903-2223 | |
| (419) 774-9969 | |
| (419) 756-5781 |
| Full Name | Family Life Counseling & Psychiatric Services |
|---|---|
| Speciality | Counselor |
| Location | 151 Marion Ave, Mansfield, Ohio |
| Authorized Official Name and Position | Steven B Burggraf (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4197749969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Counseling & Psychiatric Services 151 Marion Ave Mansfield OH 44903-2223 Ph: (419) 774-9969 | Family Life Counseling & Psychiatric Services 151 Marion Ave Mansfield OH 44903-2223 Ph: (419) 774-9969 |
| NPI Number | 1598862641 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 07/16/2008 |
| Medicare PECOS PAC ID | 0749353464 |
|---|---|
| Medicare Enrollment ID | O20080714000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598862641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10440 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0405 (Ohio) | Primary |
| Provider Name | Mary K Castor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801161195 PECOS PAC ID: 2668629528 Enrollment ID: I20120828000547 |
| Provider Name | Cheryl L Purviance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336396977 PECOS PAC ID: 8426292327 Enrollment ID: I20130916000286 |
| Provider Name | Susan Kay Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114466372 PECOS PAC ID: 0446509756 Enrollment ID: I20180820003692 |
| Provider Name | Linda Zakrajsek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275692014 PECOS PAC ID: 5092153981 Enrollment ID: I20240411001196 |
| Provider Name | Jodi R Willett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659590446 PECOS PAC ID: 7911346614 Enrollment ID: I20240415000978 |
| Provider Name | Brent Shaffer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538469556 PECOS PAC ID: 0244679942 Enrollment ID: I20240415001104 |
| Provider Name | Amber Sheets |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821653874 PECOS PAC ID: 1759720469 Enrollment ID: I20240415001259 |
| Provider Name | Jennifer Draper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174179659 PECOS PAC ID: 9234578949 Enrollment ID: I20240415001425 |
| Provider Name | Joy S Reeder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104045921 PECOS PAC ID: 5597104208 Enrollment ID: I20240415001500 |
| Provider Name | Jennifer C Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124573233 PECOS PAC ID: 7214376334 Enrollment ID: I20240422001809 |
| Provider Name | Kelly J Eckrich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912384231 PECOS PAC ID: 1658710793 Enrollment ID: I20240422002335 |
| Provider Name | Steven B Burggraf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225252174 PECOS PAC ID: 5890868517 Enrollment ID: I20240423000389 |
| Provider Name | Mary E Souder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124247499 PECOS PAC ID: 9335588383 Enrollment ID: I20240423003965 |
| Provider Name | Jeffrey W Gray |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497165377 PECOS PAC ID: 7719327774 Enrollment ID: I20240424004184 |
| Provider Name | Roger Higginbotham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083036545 PECOS PAC ID: 6204276132 Enrollment ID: I20240425002624 |
| Provider Name | Haley Mccoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134787393 PECOS PAC ID: 2163862095 Enrollment ID: I20240425002820 |
| Provider Name | Amanda Soliven |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396005633 PECOS PAC ID: 7315387107 Enrollment ID: I20240426001289 |
| Provider Name | Melissa Leighty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134576499 PECOS PAC ID: 9032550181 Enrollment ID: I20240507003925 |
| Provider Name | Cynthia L Keener |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881109916 PECOS PAC ID: 7113369620 Enrollment ID: I20240530000217 |
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