Midwest Counseling Centers Of Ohio | |
8940 Kingsridge Dr Ste 106 Dayton OH 45458-1632 | |
(937) 813-4485 | |
(937) 813-4576 |
Full Name | Midwest Counseling Centers Of Ohio |
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Speciality | Clinic/Center |
Location | 8940 Kingsridge Dr Ste 106, Dayton, Ohio |
Authorized Official Name and Position | Mark K Floro (VP OF FINANCE AND OPERATIONS) |
Authorized Official Contact | 9378134485 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midwest Counseling Centers Of Ohio 8940 Kingsridge Dr Ste 106 Dayton OH 45458-1632 Ph: (937) 813-4485 | Midwest Counseling Centers Of Ohio 8940 Kingsridge Dr Ste 106 Dayton OH 45458-1632 Ph: (937) 813-4485 |
NPI Number | 1245838630 |
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Provider Enumeration Date | 10/16/2020 |
Last Update Date | 10/16/2020 |
Certification Date | 10/16/2020 |
Medicare PECOS PAC ID | 1759798366 |
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Medicare Enrollment ID | O20210326001959 |
Identifier | Type | State | Issuer |
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1245838630 | NPI | - | NPPES |
4466973 | Other | OH | OHIO STATE CHARTER OR REGISTRATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Kathryn M Pitchford |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982750857 PECOS PAC ID: 2365356284 Enrollment ID: I20031114000672 |
Provider Name | Nancy Fitch |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669586343 PECOS PAC ID: 9436157450 Enrollment ID: I20061129000120 |
Provider Name | Lynne M Routsong-wiechers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659453165 PECOS PAC ID: 1951626977 Enrollment ID: I20150216001735 |
Provider Name | Gary Thomas Ratliff |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063951556 PECOS PAC ID: 5395110316 Enrollment ID: I20230405000748 |
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