| Miami Valley Recovery, Llc | |
|
1 Elizabeth Pl Suite Nwb40 Dayton OH 45417-3445 | |
| (937) 401-8672 | |
| (937) 853-8029 |
| Full Name | Miami Valley Recovery, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1 Elizabeth Pl, Dayton, Ohio |
| Authorized Official Name and Position | William Thomas Chrisovergis (PRESIDENT) |
| Authorized Official Contact | 6143076894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Valley Recovery, Llc 1 Elizabeth Pl Suite Nwb40 Dayton OH 45417-3445 Ph: () - | Miami Valley Recovery, Llc 1 Elizabeth Pl Suite Nwb40 Dayton OH 45417-3445 Ph: (937) 401-8672 |
| NPI Number | 1285152496 |
|---|---|
| Provider Enumeration Date | 09/07/2017 |
| Last Update Date | 12/09/2019 |
| Certification Date | 12/09/2019 |
| Medicare PECOS PAC ID | 8022444736 |
|---|---|
| Medicare Enrollment ID | O20200128002269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285152496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Ohio) | Primary |
| Provider Name | Abdul Shahid |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1063496586 PECOS PAC ID: 5092792168 Enrollment ID: I20060131000965 |
| Provider Name | Monica Elizabeth Kasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790290815 PECOS PAC ID: 7517227929 Enrollment ID: I20180202002363 |
Liberty Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4769 Free Pike, Dayton, OH 45416 Phone: 614-738-3821 | |
Communikare Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 Woodman Dr, Dayton, OH 45432 Phone: 937-223-1781 Fax: 937-424-0279 | |
Miami Valley Hospital - Psych Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-8000 Fax: 937-499-7813 | |
New Reflections Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 267 Regency Ridge Dr, Dayton, OH 45459 Phone: 937-396-7077 | |
Eastway Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Wayne Ave, Dayton, OH 45410 Phone: 937-496-2000 Fax: 937-463-2901 | |
Best Life E-therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Needmore Rd, Dayton, OH 45414 Phone: 937-764-3847 | |
Empowering To Elevate Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 S Main St, Dayton, OH 45402 Phone: 937-248-1264 Fax: 937-315-6121 |