| Mid-ohio Behavioral Health Llc | |
|
930 Bethesda Dr Unit 4 Zanesville OH 43701-0815 | |
| (740) 569-5737 | |
| (740) 569-5716 |
| Full Name | Mid-ohio Behavioral Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 930 Bethesda Dr Unit 4, Zanesville, Ohio |
| Authorized Official Name and Position | Russ Valentine (CEO) |
| Authorized Official Contact | 7402602068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-ohio Behavioral Health Llc 7300 Stone Gate Dr New Albany OH 43054-8193 Ph: () - | Mid-ohio Behavioral Health Llc 930 Bethesda Dr Unit 4 Zanesville OH 43701-0815 Ph: (740) 569-5737 |
| NPI Number | 1578936746 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 05/26/2022 |
| Certification Date | 02/10/2022 |
| Medicare PECOS PAC ID | 7214212695 |
|---|---|
| Medicare Enrollment ID | O20170327002096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578936746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patricia L Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932128352 PECOS PAC ID: 0244211761 Enrollment ID: I20040528000890 |
| Provider Name | Denise A Kohler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447290473 PECOS PAC ID: 9032169750 Enrollment ID: I20050131000040 |
| Provider Name | Debbie E Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982718128 PECOS PAC ID: 7618904350 Enrollment ID: I20050726000323 |
| Provider Name | Mukesh R Rangwani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912072646 PECOS PAC ID: 3779516539 Enrollment ID: I20080514000011 |
| Provider Name | Ajay K Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336287002 PECOS PAC ID: 9931245909 Enrollment ID: I20091005000517 |
| Provider Name | Tarsicio G Gacheru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164854295 PECOS PAC ID: 4880838655 Enrollment ID: I20130917000428 |
| Provider Name | Erin Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922192699 PECOS PAC ID: 7618267758 Enrollment ID: I20160602001212 |
| Provider Name | Chari L Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871945444 PECOS PAC ID: 8729363049 Enrollment ID: I20170328001704 |
| Provider Name | Tracey A Orr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033658620 PECOS PAC ID: 8426333766 Enrollment ID: I20170328002293 |
| Provider Name | Denise M Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922439033 PECOS PAC ID: 0446535652 Enrollment ID: I20170329002367 |
| Provider Name | Brittany Kolanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851740260 PECOS PAC ID: 9537445564 Enrollment ID: I20170405002710 |
| Provider Name | Nicole Muscari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154843043 PECOS PAC ID: 5799041018 Enrollment ID: I20171102000423 |
| Provider Name | Dauntrica Wallstrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528580370 PECOS PAC ID: 4789940008 Enrollment ID: I20171102000456 |
| Provider Name | Samantha Ault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831512896 PECOS PAC ID: 0749547610 Enrollment ID: I20171130002220 |
| Provider Name | Kathryn M Loveless |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265624142 PECOS PAC ID: 3173885944 Enrollment ID: I20180315001874 |
| Provider Name | Corryn R Christy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407342272 PECOS PAC ID: 3779767124 Enrollment ID: I20180919000879 |
| Provider Name | Yashauna D Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528431657 PECOS PAC ID: 7911245352 Enrollment ID: I20190211002355 |
| Provider Name | Anna L Harp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124552443 PECOS PAC ID: 3678807138 Enrollment ID: I20190703000617 |
| Provider Name | Rachel Stile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245726678 PECOS PAC ID: 5092042531 Enrollment ID: I20190807001041 |
| Provider Name | Karri A Barlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568018083 PECOS PAC ID: 0648509505 Enrollment ID: I20190903001545 |
| Provider Name | Heather Sklenar Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801448147 PECOS PAC ID: 5193054054 Enrollment ID: I20190903001572 |
| Provider Name | Shannon M Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487207254 PECOS PAC ID: 6103154810 Enrollment ID: I20190910002171 |
| Provider Name | Jessica Weigand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669911152 PECOS PAC ID: 2365773223 Enrollment ID: I20191008003226 |
| Provider Name | Christopher S Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982247417 PECOS PAC ID: 8527496397 Enrollment ID: I20200310002831 |
| Provider Name | Sara E Byers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023476785 PECOS PAC ID: 3870911969 Enrollment ID: I20200922003041 |
| Provider Name | Amanda S Spicer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053880948 PECOS PAC ID: 2567882459 Enrollment ID: I20201014002372 |
| Provider Name | Meghan E. Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518555630 PECOS PAC ID: 8628462819 Enrollment ID: I20220304000770 |
| Provider Name | Julilyn Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003508250 PECOS PAC ID: 6800240557 Enrollment ID: I20230928001759 |
| Provider Name | Victoria Perebzak-murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285127852 PECOS PAC ID: 2062866437 Enrollment ID: I20231004000940 |
| Provider Name | Tracey Sowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790206027 PECOS PAC ID: 9234586033 Enrollment ID: I20231116001342 |
| Provider Name | Tonya Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295034346 PECOS PAC ID: 9830540673 Enrollment ID: I20240105003109 |
| Provider Name | Deisa Permeti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861944662 PECOS PAC ID: 8820426372 Enrollment ID: I20240131004513 |
| Provider Name | Kimberly Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942716170 PECOS PAC ID: 3476993262 Enrollment ID: I20240426001448 |
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