| Lifetalk Counseling Llc | |
|
147 James Way Marion OH 43302-5892 | |
| (740) 914-6049 | |
| Not Available |
| Full Name | Lifetalk Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 147 James Way, Marion, Ohio |
| Authorized Official Name and Position | Christopher Childers (OWNER) |
| Authorized Official Contact | 7409146049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetalk Counseling Llc 147 James Way Marion OH 43302-5892 Ph: (740) 914-6049 | Lifetalk Counseling Llc 147 James Way Marion OH 43302-5892 Ph: (740) 914-6049 |
| NPI Number | 1891371647 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 03/22/2021 |
| Certification Date | 03/22/2021 |
| Medicare PECOS PAC ID | 4385187608 |
|---|---|
| Medicare Enrollment ID | O20240614002391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891371647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Christopher Shawn Childers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437491701 PECOS PAC ID: 5294278511 Enrollment ID: I20240614002644 |
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