| Innovative Mental Health Inc | |
|
65 N Lake St Suite 100 Madison OH 44057-3113 | |
| (440) 428-0055 | |
| (440) 428-0084 |
| Full Name | Innovative Mental Health Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 65 N Lake St, Madison, Ohio |
| Authorized Official Name and Position | Sarbjot Singh Ajit (BILLING SERVICES) |
| Authorized Official Contact | 4404280055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Mental Health Inc 65 N Lake St Suite 100 Madison OH 44057-3113 Ph: (440) 428-0055 | Innovative Mental Health Inc 65 N Lake St Suite 100 Madison OH 44057-3113 Ph: (440) 428-0055 |
| NPI Number | 1972747566 |
|---|---|
| Provider Enumeration Date | 04/27/2009 |
| Last Update Date | 06/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972747566 | NPI | - | NPPES |
| 3147302 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35087896 (Ohio) | Primary |
Supertherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 S Lake St, Madison, OH 44057 Phone: 234-212-8254 | |
Dixon Family Counseling, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 W Main St, Madison, OH 44057 Phone: 440-417-0006 Fax: 440-417-0006 |