| Midwest Counseling Center Oh, Lcc | |
|
5200 Camelot Dr Fairfield OH 45014-4009 | |
| (781) 558-8696 | |
| Not Available |
| Full Name | Midwest Counseling Center Oh, Lcc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5200 Camelot Dr, Fairfield, Ohio |
| Authorized Official Name and Position | Christopher Foster (CEO) |
| Authorized Official Contact | 7815588696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Counseling Center Oh, Lcc 15813 72nd Ave Fl 2 Fresh Meadows NY 11365-4100 Ph: (781) 558-8696 | Midwest Counseling Center Oh, Lcc 5200 Camelot Dr Fairfield OH 45014-4009 Ph: (781) 558-8696 |
| NPI Number | 1669281168 |
|---|---|
| Provider Enumeration Date | 12/31/2024 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669281168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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