| Mended Reeds Services, Inc. | |
|
700 Park Ave Ironton OH 45638-1502 | |
| (740) 532-1613 | |
| (740) 532-1715 |
| Full Name | Mended Reeds Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 700 Park Ave, Ironton, Ohio |
| Authorized Official Name and Position | Debbie Hixon (OFFICE MANAGER) |
| Authorized Official Contact | 7405326220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mended Reeds Services, Inc. Po Box 108 Ironton OH 45638-0108 Ph: (740) 532-6220 | Mended Reeds Services, Inc. 700 Park Ave Ironton OH 45638-1502 Ph: (740) 532-1613 |
| NPI Number | 1730594219 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730594219 | NPI | - | NPPES |
| 0108623 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0588 (Ohio) | Secondary |
| 251S00000X | Community/behavioral Health | 0588 (Ohio) | Primary |
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