| Family Pride Of Northeast Ohio Incorporated | |
|
695 South Street Suite 6 Chardon OH 44024 | |
| (440) 286-1553 | |
| (440) 286-1318 |
| Full Name | Family Pride Of Northeast Ohio Incorporated |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 695 South Street, Chardon, Ohio |
| Authorized Official Name and Position | Angela L. Daugherty (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4402861553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Pride Of Northeast Ohio Incorporated 695 South Street Suite 6 Chardon OH 44024 Ph: (440) 286-1553 | Family Pride Of Northeast Ohio Incorporated 695 South Street Suite 6 Chardon OH 44024 Ph: (440) 286-1553 |
| NPI Number | 1427013556 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Medicare PECOS PAC ID | 9739458589 |
|---|---|
| Medicare Enrollment ID | O20170710003089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427013556 | NPI | - | NPPES |
| 590 | Other | OH | OHIO DEPARTMENT OF MENTAL |
| Provider Name | Jane Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083908719 PECOS PAC ID: 4486937760 Enrollment ID: I20170210001813 |
| Provider Name | Rachel A Humphrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740698810 PECOS PAC ID: 0547531774 Enrollment ID: I20170807003175 |
| Provider Name | Angela L Daugherty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770761926 PECOS PAC ID: 1557630308 Enrollment ID: I20170823001773 |
| Provider Name | Kelly J Bencivenni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184087702 PECOS PAC ID: 9032488200 Enrollment ID: I20231205002886 |
| Provider Name | Nicole A Schryer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831516186 PECOS PAC ID: 0547600389 Enrollment ID: I20240426003154 |
| Provider Name | Sherri L Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184928913 PECOS PAC ID: 1456791110 Enrollment ID: I20240429000384 |
| Provider Name | Jeniffer L Marut |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518116912 PECOS PAC ID: 8022458702 Enrollment ID: I20240429000987 |
| Provider Name | Lisa M Cuffari |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568940351 PECOS PAC ID: 5698115327 Enrollment ID: I20240429002695 |
| Provider Name | Morgan K Whitely |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386007870 PECOS PAC ID: 0547600108 Enrollment ID: I20240430000430 |
| Provider Name | Amber Keane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467944942 PECOS PAC ID: 0345680906 Enrollment ID: I20240430000486 |
| Provider Name | Allison Loeb-munson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104183920 PECOS PAC ID: 7618317835 Enrollment ID: I20240503002512 |
| Provider Name | Andrea Razavi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760881031 PECOS PAC ID: 5294277877 Enrollment ID: I20240611001977 |
Acts Of Kindness Behavior Support Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 5th Ave, Chardon, OH 44024 Phone: 440-286-9141 | |
Patricia Maskow Firem, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 South St, 2b, Chardon, OH 44024 Phone: 440-285-8746 Fax: 440-285-8746 | |
Ravenwood Mental Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 Fax: 440-285-4552 | |
Family Pride Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Parker Ct, Chardon, OH 44024 Phone: 440-286-1553 | |
Cc Of Geauga County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 South St, Suite D-1, Chardon, OH 44024 Phone: 440-843-5615 | |
Cc Of Geauga County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10771 Mayfield Rd, Chardon, OH 44024 Phone: 440-285-3537 Fax: 440-285-4909 | |
Ubuntu Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Main St, Chardon, OH 44024 Phone: 440-214-9062 |