| Fuse Trauma Recovery | |
|
2592 Woodville Rd Northwood OH 43619-1444 | |
| (419) 277-5816 | |
| (833) 381-0977 |
| Full Name | Fuse Trauma Recovery |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2592 Woodville Rd, Northwood, Ohio |
| Authorized Official Name and Position | Deann Gossard (OWNER) |
| Authorized Official Contact | 4192775816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fuse Trauma Recovery 2592 Woodville Rd Northwood OH 43619-1444 Ph: (419) 277-5816 | Fuse Trauma Recovery 2592 Woodville Rd Northwood OH 43619-1444 Ph: (419) 277-5816 |
| NPI Number | 1558977686 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558977686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Fuse Trauma Recovery Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2592 Woodville Rd, Northwood, OH 43619 Phone: 419-315-6422 Fax: 833-381-0977 |