Lakeshore Health And Wellness | |
5475 Liberty Ave Vermilion OH 44089-1333 | |
(440) 963-0402 | |
Not Available |
Full Name | Lakeshore Health And Wellness |
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Speciality | Counselor |
Location | 5475 Liberty Ave, Vermilion, Ohio |
Authorized Official Name and Position | Michele L Weber (OWNER) |
Authorized Official Contact | 4409675784 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lakeshore Health And Wellness 4143 Firestone Ln Vermilion OH 44089-3625 Ph: (440) 967-5784 | Lakeshore Health And Wellness 5475 Liberty Ave Vermilion OH 44089-1333 Ph: (440) 963-0402 |
NPI Number | 1013400951 |
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Provider Enumeration Date | 06/13/2018 |
Last Update Date | 06/13/2018 |
Medicare PECOS PAC ID | 6103167333 |
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Medicare Enrollment ID | O20190416001496 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013400951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Cheryl L Gerber |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144542564 PECOS PAC ID: 2567413990 Enrollment ID: I20050203000064 |
Provider Name | Stephanie H Wells |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124390554 PECOS PAC ID: 0648434514 Enrollment ID: I20120606000397 |
Provider Name | Victoria Lawrence |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649592502 PECOS PAC ID: 0143471367 Enrollment ID: I20121117000032 |
Provider Name | Anita Eddie |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912110891 PECOS PAC ID: 3173762176 Enrollment ID: I20130625000032 |
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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 |