| Kosta Health Promotions Llc | |
|
200 S Arch St Fremont OH 43420-2961 | |
| (419) 680-3000 | |
| Not Available |
| Full Name | Kosta Health Promotions Llc |
|---|---|
| Speciality | Counselor |
| Location | 200 S Arch St, Fremont, Ohio |
| Authorized Official Name and Position | Joanne Kosta (OWNER) |
| Authorized Official Contact | 4193559169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kosta Health Promotions Llc 2521 County Road 41 Fremont OH 43420-8980 Ph: (419) 355-9169 | Kosta Health Promotions Llc 200 S Arch St Fremont OH 43420-2961 Ph: (419) 680-3000 |
| NPI Number | 1922830884 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Medicare PECOS PAC ID | 8123550365 |
|---|---|
| Medicare Enrollment ID | O20241014001688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922830884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Joanne Kosta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497189179 PECOS PAC ID: 9032641279 Enrollment ID: I20241014001882 |
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