| Midwest Behavioral Care, Ltd | |
|
3821 Little York Rd Dayton OH 45414-2409 | |
| (937) 454-0092 | |
| (937) 264-1101 |
| Full Name | Midwest Behavioral Care, Ltd |
|---|---|
| Speciality | Counselor |
| Location | 3821 Little York Rd, Dayton, Ohio |
| Authorized Official Name and Position | Stephen Pearce (MANAGING PARTNER) |
| Authorized Official Contact | 9374540092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Behavioral Care, Ltd 3821 Little York Rd Dayton OH 45414-2409 Ph: (937) 454-0092 | Midwest Behavioral Care, Ltd 3821 Little York Rd Dayton OH 45414-2409 Ph: (937) 454-0092 |
| NPI Number | 1649207911 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6305806886 |
|---|---|
| Medicare Enrollment ID | O20041019000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649207911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Fred A Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063431443 PECOS PAC ID: 5597769299 Enrollment ID: I20060912000318 |
| Provider Name | Marcia K Emanuel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699922500 PECOS PAC ID: 1759552284 Enrollment ID: I20110914000059 |
| Provider Name | Mary Jane Kocian-figueroa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598806945 PECOS PAC ID: 5890849996 Enrollment ID: I20130809000714 |
| Provider Name | Jane E Benner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255752275 PECOS PAC ID: 6800028648 Enrollment ID: I20140410000886 |
| Provider Name | Shelley Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669552899 PECOS PAC ID: 8628174109 Enrollment ID: I20240104001788 |
| Provider Name | Irene R Dirksen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013995364 PECOS PAC ID: 7012368665 Enrollment ID: I20240108004182 |
| Provider Name | Larry Welin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780937862 PECOS PAC ID: 1759733900 Enrollment ID: I20240123004153 |
| Provider Name | William Steven White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316117393 PECOS PAC ID: 1850735101 Enrollment ID: I20240215000107 |
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