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1950 Mount Saint Marys Dr Nelsonville OH 45764-1280 | |
| (740) 300-0225 | |
| (833) 733-8327 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1950 Mount Saint Marys Dr, Nelsonville, Ohio |
| Authorized Official Name and Position | Samantha Shafer (CEO) |
| Authorized Official Contact | 7403000225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 132 Athens OH 45701-0132 Ph: (740) 300-0225 | 1950 Mount Saint Marys Dr Nelsonville OH 45764-1280 Ph: (740) 300-0225 |
| NPI Number | 1205196201 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205196201 | NPI | - | NPPES |
| 2916894 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Survivor Advocacy Outreach Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 W Washington St, Nelsonville, OH 45764 Phone: 740-591-4266 | |
Hopewell Health Centers Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14455 Kimberley Rd, Nelsonville, OH 45764 Phone: 740-753-9656 Fax: 740-753-9659 |