Lindsay Millard | |
2401 Whipple Ave Nw Canton OH 44708-1513 | |
(330) 807-8954 | |
Not Available |
Full Name | Lindsay Millard |
---|---|
Speciality | Counselor |
Location | 2401 Whipple Ave Nw, Canton, Ohio |
Authorized Official Name and Position | Lindsay Mae Millard (CLINICAL SOCIAL WORKER/OWNER) |
Authorized Official Contact | 3303538640 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lindsay Millard 2594 Swartz Rd Ne Hartville OH 44632-9210 Ph: (330) 807-8954 | Lindsay Millard 2401 Whipple Ave Nw Canton OH 44708-1513 Ph: (330) 807-8954 |
NPI Number | 1699349837 |
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Provider Enumeration Date | 05/13/2021 |
Last Update Date | 06/26/2024 |
Certification Date | 06/26/2024 |
Medicare PECOS PAC ID | 4284035734 |
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Medicare Enrollment ID | O20210622002429 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699349837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Lindsay Mae Millard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194230698 PECOS PAC ID: 8921418476 Enrollment ID: I20201111002994 |
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