| Integrative Counseling Services | |
|
2648 Medina Rd. Medina OH 44256-2378 | |
| (440) 570-2541 | |
| Not Available |
| Full Name | Integrative Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 2648 Medina Rd., Medina, Ohio |
| Authorized Official Name and Position | Allan Howard Brainard (COUNSELOR/THERAPIST) |
| Authorized Official Contact | 4405702541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Counseling Services 2648 Medina Rd. Medina OH 44256-2378 Ph: (440) 570-2541 | Integrative Counseling Services 2648 Medina Rd. Medina OH 44256-2378 Ph: (440) 570-2541 |
| NPI Number | 1659997237 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 5395282156 |
|---|---|
| Medicare Enrollment ID | O20240730001999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659997237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Allan Brainard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285172577 PECOS PAC ID: 6204373061 Enrollment ID: I20240730003696 |
| Provider Name | Kristy Lynn Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730710310 PECOS PAC ID: 4486185121 Enrollment ID: I20241004001131 |
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