| Laura Geller | |
|
171 Forest St Oberlin OH 44074-1507 | |
| (440) 230-6121 | |
| Not Available |
| Full Name | Laura Geller |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 171 Forest St, Oberlin, Ohio |
| Authorized Official Name and Position | Laura Geller (OWNER) |
| Authorized Official Contact | 4402306121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Geller 171 Forest St Oberlin OH 44074-1507 Ph: (440) 230-6121 | Laura Geller 171 Forest St Oberlin OH 44074-1507 Ph: (440) 230-6121 |
| NPI Number | 1316539067 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 03/24/2021 |
| Certification Date | 03/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316539067 | NPI | - | NPPES |
| 0413334 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Design For Individual Damily And Community Inc Difc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 West Lorain St, Oberlin, OH 44074 Phone: 440-775-2905 Fax: 440-775-2905 | |
Plum Creek Associates, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 South Main Street, Suite 302, Oberlin, OH 44074 Phone: 440-775-7171 Fax: 440-774-2339 |