| Lettvin Psychiatric And Consulting Services, Llc | |
|
76 E. Second Street Chillicothe OH 45601 | |
| (740) 772-2902 | |
| (740) 772-2906 |
| Full Name | Lettvin Psychiatric And Consulting Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 76 E. Second Street, Chillicothe, Ohio |
| Authorized Official Name and Position | Robyn Me Lettvin (GENERAL PARTNER) |
| Authorized Official Contact | 7407722902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lettvin Psychiatric And Consulting Services, Llc 76 E. Second Street P.o. Box 507 Chillicothe OH 45601 Ph: (740) 772-2902 | Lettvin Psychiatric And Consulting Services, Llc 76 E. Second Street Chillicothe OH 45601 Ph: (740) 772-2902 |
| NPI Number | 1306229612 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 09/25/2015 |
| Medicare PECOS PAC ID | 6103127162 |
|---|---|
| Medicare Enrollment ID | O20151216000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306229612 | NPI | - | NPPES |
| 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 | Robyn M.e. Lettvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851580757 PECOS PAC ID: 6507940368 Enrollment ID: I20080303000843 |
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