Inner-light Counseling & Recovery Services | |
4400 N High St Ste 4174400n Columbus OH 43214-2635 | |
(330) 464-6466 | |
Not Available |
Full Name | Inner-light Counseling & Recovery Services |
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Speciality | Social Worker |
Location | 4400 N High St Ste 4174400n, Columbus, Ohio |
Authorized Official Name and Position | Catherine Bister (CEO/OWNER) |
Authorized Official Contact | 3304641355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Inner-light Counseling & Recovery Services 73 Fitz Henry Blvd Columbus OH 43214-1600 Ph: (330) 464-6466 | Inner-light Counseling & Recovery Services 4400 N High St Ste 4174400n Columbus OH 43214-2635 Ph: (330) 464-6466 |
NPI Number | 1730660028 |
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Provider Enumeration Date | 08/24/2018 |
Last Update Date | 02/20/2020 |
Certification Date | 02/20/2020 |
Medicare PECOS PAC ID | 8628406923 |
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Medicare Enrollment ID | O20200320000607 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730660028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Catherine E Bister |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760891592 PECOS PAC ID: 9537597836 Enrollment ID: I20200320000787 |
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