Guiding Grace Counseling Llc | |
547 1/2 S James St Dover OH 44622-2137 | |
(330) 343-7400 | |
(330) 343-7414 |
Full Name | Guiding Grace Counseling Llc |
---|---|
Speciality | Counselor |
Location | 547 1/2 S James St, Dover, Ohio |
Authorized Official Name and Position | Connie Lee Wallace (OWNER/DIRECTOR) |
Authorized Official Contact | 3303437400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Guiding Grace Counseling Llc Po Box 534 New Philadelphia OH 44663-0534 Ph: (330) 343-7400 | Guiding Grace Counseling Llc 547 1/2 S James St Dover OH 44622-2137 Ph: (330) 343-7400 |
NPI Number | 1639325871 |
---|---|
Provider Enumeration Date | 08/07/2008 |
Last Update Date | 03/01/2016 |
Medicare PECOS PAC ID | 2466503776 |
---|---|
Medicare Enrollment ID | O20090626000352 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639325871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Ohio) | Primary |
Provider Name | Connie Lee Wallace |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1386668200 PECOS PAC ID: 1557468733 Enrollment ID: I20240809003248 |
Provider Name | Tamara L Sabo |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245675651 PECOS PAC ID: 2163860735 Enrollment ID: I20241029002870 |
Pathway Practice, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 Fax: 330-343-8188 | |
Springvale Health Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 | |
Springvale Health Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 Fax: 330-343-8188 | |
Springvale Health Centers, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 Fax: 330-343-8188 |