Inherent Basic Goodness Counseling, Llc | |
24600 Center Ridge Road Suite 130 Westlake OH 44145 | |
() - | |
Not Available |
Full Name | Inherent Basic Goodness Counseling, Llc |
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Speciality | Social Worker |
Location | 24600 Center Ridge Road Suite 130, Westlake, Ohio |
Authorized Official Name and Position | Sam Kuntz (OWNER) |
Authorized Official Contact | 4404081161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Inherent Basic Goodness Counseling, Llc 24600 Center Ridge Road Suite 130 Westlake OH 44145 Ph: () - | Inherent Basic Goodness Counseling, Llc 24600 Center Ridge Road Suite 130 Westlake OH 44145 Ph: () - |
NPI Number | 1720628902 |
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Provider Enumeration Date | 01/15/2020 |
Last Update Date | 01/15/2020 |
Certification Date | 01/15/2020 |
Medicare PECOS PAC ID | 7113353236 |
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Medicare Enrollment ID | O20200210002092 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720628902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Samuel J Kuntz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528465598 PECOS PAC ID: 8022444140 Enrollment ID: I20200305001893 |
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