House Of Transformation Therapy Services | |
524 Cora Pl Hartville OH 44632-8902 | |
(330) 631-1319 | |
Not Available |
Full Name | House Of Transformation Therapy Services |
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Speciality | Counselor |
Location | 524 Cora Pl, Hartville, Ohio |
Authorized Official Name and Position | Patricia K Sullivan (OWNER) |
Authorized Official Contact | 3306311319 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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House Of Transformation Therapy Services 524 Cora Pl Hartville OH 44632-8902 Ph: (330) 631-1319 | House Of Transformation Therapy Services 524 Cora Pl Hartville OH 44632-8902 Ph: (330) 631-1319 |
NPI Number | 1679334189 |
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Provider Enumeration Date | 01/22/2024 |
Last Update Date | 02/10/2024 |
Certification Date | 02/10/2024 |
Medicare PECOS PAC ID | 6901247915 |
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Medicare Enrollment ID | O20240508001888 |
Identifier | Type | State | Issuer |
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1679334189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Patricia Kaye Sullivan |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1033653647 PECOS PAC ID: 8628419637 Enrollment ID: I20240510002821 |
Quest Recovery And Prevention Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7291 Swamp St Ne, Hartville, OH 44632 Phone: 330-453-8252 Fax: 330-453-6716 | |
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