| Mental And Emotional Wellness Centers Of Ohio | |
|
29225 Chagrin Blvd Ste 100 Beachwood OH 44122-4632 | |
| (216) 282-3733 | |
| Not Available |
| Full Name | Mental And Emotional Wellness Centers Of Ohio |
|---|---|
| Speciality | Counselor |
| Location | 29225 Chagrin Blvd Ste 100, Beachwood, Ohio |
| Authorized Official Name and Position | Eric L King (OWNER) |
| Authorized Official Contact | 2162823733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental And Emotional Wellness Centers Of Ohio Po Box 391652 Solon OH 44139-8652 Ph: (216) 282-3733 | Mental And Emotional Wellness Centers Of Ohio 29225 Chagrin Blvd Ste 100 Beachwood OH 44122-4632 Ph: (216) 282-3733 |
| NPI Number | 1366907412 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 10/13/2021 |
| Certification Date | 10/13/2021 |
| Medicare PECOS PAC ID | 9931507027 |
|---|---|
| Medicare Enrollment ID | O20211004001748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366907412 | NPI | - | NPPES |
| 0338086 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Joy J King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285079418 PECOS PAC ID: 0840426193 Enrollment ID: I20131115000943 |
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