| Integration Counseling | |
|
14701 Detroit Ave Ste 587 Lakewood OH 44107-4115 | |
| (440) 708-8922 | |
| Not Available |
| Full Name | Integration Counseling |
|---|---|
| Speciality | Counselor |
| Location | 14701 Detroit Ave Ste 587, Lakewood, Ohio |
| Authorized Official Name and Position | Mary Kay Shelton (OWNER) |
| Authorized Official Contact | 4407088922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integration Counseling 14701 Detroit Ave Ste 587 Lakewood OH 44107-4115 Ph: () - | Integration Counseling 14701 Detroit Ave Ste 587 Lakewood OH 44107-4115 Ph: (440) 708-8922 |
| NPI Number | 1912730813 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/25/2024 |
| Medicare PECOS PAC ID | 8921532664 |
|---|---|
| Medicare Enrollment ID | O20241118000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912730813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary Kay Shelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629648407 PECOS PAC ID: 2163956897 Enrollment ID: I20241118000255 |
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