| Mannamental Addiction And Recovery Clinic | |
|
201 W Elm St Lima OH 45801-4811 | |
| (419) 673-7754 | |
| Not Available |
| Full Name | Mannamental Addiction And Recovery Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 W Elm St, Lima, Ohio |
| Authorized Official Name and Position | Abigail Akyeampong (MANAGER) |
| Authorized Official Contact | 7408185248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mannamental Addiction And Recovery Clinic 2619 Foxbury Ln Findlay OH 45840-7153 Ph: (740) 818-5248 | Mannamental Addiction And Recovery Clinic 201 W Elm St Lima OH 45801-4811 Ph: (419) 673-7754 |
| NPI Number | 1386494722 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/24/2024 |
| Medicare PECOS PAC ID | 6305288135 |
|---|---|
| Medicare Enrollment ID | O20240524002402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386494722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lisa R Wren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629304365 PECOS PAC ID: 9234278508 Enrollment ID: I20091125000454 |
| Provider Name | Abigail Eli Akyeampong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194120584 PECOS PAC ID: 8325360035 Enrollment ID: I20141209000646 |
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