Lutheran Social Services Of Northwestern Ohio | |
799 South Main Street Lima OH 45804 | |
(419) 229-2222 | |
(419) 229-2227 |
Full Name | Lutheran Social Services Of Northwestern Ohio |
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Speciality | Community/Behavioral Health |
Location | 799 South Main Street, Lima, Ohio |
Authorized Official Name and Position | Nancy A Yunker (PRESIDENT CEO) |
Authorized Official Contact | 4192439178 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lutheran Social Services Of Northwestern Ohio 799 South Main Street Lima OH 45804 Ph: (419) 229-2222 | Lutheran Social Services Of Northwestern Ohio 799 South Main Street Lima OH 45804 Ph: (419) 229-2222 |
NPI Number | 1750467916 |
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Provider Enumeration Date | 10/31/2006 |
Last Update Date | 06/03/2009 |
Medicare PECOS PAC ID | 4587562533 |
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Medicare Enrollment ID | O20031229000632 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750467916 | NPI | - | NPPES |
2482362 | Medicaid | OH |
Provider Name | Robert Guyton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275075566 PECOS PAC ID: 4183092133 Enrollment ID: I20221122001876 |
Provider Name | Jan S Kucera |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1700095635 PECOS PAC ID: 0547503237 Enrollment ID: I20240119001722 |
Provider Name | Eilleen A Goodman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1861605933 PECOS PAC ID: 8729430251 Enrollment ID: I20240119001756 |
Provider Name | Michele Ann Loesser |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1760529689 PECOS PAC ID: 5193177673 Enrollment ID: I20240119003308 |
Provider Name | Erin E Mitchell |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1679934285 PECOS PAC ID: 8729430962 Enrollment ID: I20240123003858 |
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