| George Stephen Hyatt Gateway Counseling, Llc | |
|
20 High St Ste 119 Hamilton OH 45011-2709 | |
| (513) 470-3691 | |
| (513) 863-0378 |
| Full Name | George Stephen Hyatt Gateway Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 High St, Hamilton, Ohio |
| Authorized Official Name and Position | George Stephen Hyatt (LISW) |
| Authorized Official Contact | 5134503691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George Stephen Hyatt Gateway Counseling, Llc 1366 New London Rd Hamilton OH 45013-4010 Ph: (513) 470-3691 | George Stephen Hyatt Gateway Counseling, Llc 20 High St Ste 119 Hamilton OH 45011-2709 Ph: (513) 470-3691 |
| NPI Number | 1497128623 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 09/16/2016 |
| Medicare PECOS PAC ID | 3577864354 |
|---|---|
| Medicare Enrollment ID | O20161111000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497128623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | I0700210 (Ohio) | Primary |
| Provider Name | George S Hyatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366475667 PECOS PAC ID: 1456513019 Enrollment ID: I20120427000508 |
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