Lakeshore Educational And Counseling Services | |
5475 Liberty Ave Vermilion OH 44089-1333 | |
(440) 963-0402 | |
Not Available |
Full Name | Lakeshore Educational And Counseling Services |
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Speciality | Community/behavioral Health |
Location | 5475 Liberty Ave, Vermilion, Ohio |
Authorized Official Name and Position | Angela F Dover (CHILD AND FAMILY THERAPIST) |
Authorized Official Contact | 5132535137 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeshore Educational And Counseling Services 3212 Bach Ave Apt 4 Cincinnati OH 45209-1756 Ph: (513) 253-5137 | Lakeshore Educational And Counseling Services 5475 Liberty Ave Vermilion OH 44089-1333 Ph: (440) 963-0402 |
NPI Number | 1346402369 |
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Provider Enumeration Date | 06/30/2008 |
Last Update Date | 06/30/2008 |
Identifier | Type | State | Issuer |
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1346402369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | E.0008336-SUPV (Ohio) | Primary |
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Lakeshore Educational And Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5475 Liberty Ave, Vermilion, OH 44089 Phone: 440-963-0402 Fax: 440-963-4018 |