| Havenwood Behavioral Health | |
|
7553 Southridge Cir Nw North Canton OH 44720-5599 | |
| (573) 528-7324 | |
| Not Available |
| Full Name | Havenwood Behavioral Health |
|---|---|
| Speciality | Social Worker |
| Location | 7553 Southridge Cir Nw, North Canton, Ohio |
| Authorized Official Name and Position | Stephanie Farrell (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5735287324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Havenwood Behavioral Health 7553 Southridge Cir Nw North Canton OH 44720-5599 Ph: (573) 528-7324 | Havenwood Behavioral Health 7553 Southridge Cir Nw North Canton OH 44720-5599 Ph: (573) 528-7324 |
| NPI Number | 1205611076 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Medicare PECOS PAC ID | 5698121515 |
|---|---|
| Medicare Enrollment ID | O20231030002137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205611076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194339069 PECOS PAC ID: 6002262920 Enrollment ID: I20231030002378 |
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