| Family Service Association | |
|
184 Salem Ave Suite 190 Dayton OH 45406-5804 | |
| (937) 222-9481 | |
| (937) 222-3710 |
| Full Name | Family Service Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 184 Salem Ave, Dayton, Ohio |
| Authorized Official Name and Position | Bonnie R. Parish (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9372229481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Association 184 Salem Ave Suite 190 Dayton OH 45406-5804 Ph: (937) 222-9481 | Family Service Association 184 Salem Ave Suite 190 Dayton OH 45406-5804 Ph: (937) 222-9481 |
| NPI Number | 1063442390 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7618948423 |
|---|---|
| Medicare Enrollment ID | O20040804001481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063442390 | NPI | - | NPPES |
| MC34-16 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Polly S Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063609287 PECOS PAC ID: 3375625320 Enrollment ID: I20080129000682 |
| Provider Name | Bonnie R Parish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003100207 PECOS PAC ID: 6103897848 Enrollment ID: I20110808000714 |
| Provider Name | Joanna White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649796004 PECOS PAC ID: 4486901634 Enrollment ID: I20180719002199 |
Liberty Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4769 Free Pike, Dayton, OH 45416 Phone: 614-738-3821 | |
Communikare Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 Woodman Dr, Dayton, OH 45432 Phone: 937-223-1781 Fax: 937-424-0279 | |
Miami Valley Hospital - Psych Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-8000 Fax: 937-499-7813 | |
New Reflections Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 267 Regency Ridge Dr, Dayton, OH 45459 Phone: 937-396-7077 | |
Eastway Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Wayne Ave, Dayton, OH 45410 Phone: 937-496-2000 Fax: 937-463-2901 | |
Best Life E-therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Needmore Rd, Dayton, OH 45414 Phone: 937-764-3847 | |
Empowering To Elevate Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 S Main St, Dayton, OH 45402 Phone: 937-248-1264 Fax: 937-315-6121 |