Marie Health Llc | |
213 Terra Bella Dr. , Ohio 44505 Youngstown OH 44505 | |
(330) 507-5165 | |
Not Available |
Full Name | Marie Health Llc |
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Speciality | Counselor |
Location | 213 Terra Bella Dr. , Ohio 44505, Youngstown, Ohio |
Authorized Official Name and Position | Stephen Patterson (OFFICE MANAGER) |
Authorized Official Contact | 3305075165 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marie Health Llc 213 Terra Bella Dr. , Ohio 44505 Youngstown OH 44505 Ph: (330) 507-5165 | Marie Health Llc 213 Terra Bella Dr. , Ohio 44505 Youngstown OH 44505 Ph: (330) 507-5165 |
NPI Number | 1881465813 |
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Provider Enumeration Date | 01/09/2024 |
Last Update Date | 01/09/2024 |
Certification Date | 01/09/2024 |
Medicare PECOS PAC ID | 4385170083 |
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Medicare Enrollment ID | O20241204004039 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881465813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Becky L Thomas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700033560 PECOS PAC ID: 1850668484 Enrollment ID: I20170601001529 |
Provider Name | Cherese Patterson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528786696 PECOS PAC ID: 3274903141 Enrollment ID: I20241204004105 |
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