| His Strength Christian Counseling Llc | |
|
4194 W Us Highway 36 Urbana OH 43078-9663 | |
| (937) 875-6795 | |
| Not Available |
| Full Name | His Strength Christian Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 4194 W Us Highway 36, Urbana, Ohio |
| Authorized Official Name and Position | Kathleen Elizabeth Ervin (CLINICAL COUNSELOR) |
| Authorized Official Contact | 9377505700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| His Strength Christian Counseling Llc Po Box 85 Westville OH 43083-0085 Ph: (937) 875-6795 | His Strength Christian Counseling Llc 4194 W Us Highway 36 Urbana OH 43078-9663 Ph: (937) 875-6795 |
| NPI Number | 1104503135 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 1557713047 |
|---|---|
| Medicare Enrollment ID | O20240119003729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104503135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kathleen Elizabeth Ervin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427012442 PECOS PAC ID: 7719339209 Enrollment ID: I20240119003806 |
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