| Conquering Walls Counseling Agency, Llc | |
|
2020 Brice Rd Ste 110 Reynoldsburg OH 43068-3448 | |
| (614) 706-5099 | |
| (614) 869-2397 |
| Full Name | Conquering Walls Counseling Agency, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2020 Brice Rd Ste 110, Reynoldsburg, Ohio |
| Authorized Official Name and Position | Laura I Davis-perry (FOUNDER/OWNER) |
| Authorized Official Contact | 6145863830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conquering Walls Counseling Agency, Llc 1725 Kenwick Rd Columbus OH 43209-3247 Ph: (614) 586-3830 | Conquering Walls Counseling Agency, Llc 2020 Brice Rd Ste 110 Reynoldsburg OH 43068-3448 Ph: (614) 706-5099 |
| NPI Number | 1568085876 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Medicare PECOS PAC ID | 2062819246 |
|---|---|
| Medicare Enrollment ID | O20210930002725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568085876 | NPI | - | NPPES |
| I.1700380 | Other | OH | LISW-SUPV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Laura Irene Davis-perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407293681 PECOS PAC ID: 3971900150 Enrollment ID: I20210930002857 |
Renari Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7662 Slate Ridge Blvd, Reynoldsburg, OH 43068 Phone: 614-397-0110 Fax: 614-694-2004 | |
Hawk Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7618 Slate Ridge Blvd, Reynoldsburg, OH 43068 Phone: 614-843-0476 | |
Whitehall Cap Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Brice Rd, Reynoldsburg, OH 43068 Phone: 614-239-9965 | |
Solutions For The Silent Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2020 Brice Rd Ste 250, Reynoldsburg, OH 43068 Phone: 614-306-9353 | |
Premier Pharmaceutical Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7973 Truman Trl, Reynoldsburg, OH 43068 Phone: 614-735-3997 | |
Erica M Bankston Lisw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7185 E Main St Unit 333, Reynoldsburg, OH 43068 Phone: 614-367-5191 Fax: 614-367-5191 | |
Misfit Refuge Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1544 Valley Dr, Reynoldsburg, OH 43068 Phone: 614-705-0626 Fax: 844-222-4587 |