| Moundbuilders Guidance Center, Inc | |
|
65 Messimer Dr Newark OH 43055-1874 | |
| (740) 522-8477 | |
| Not Available |
| Full Name | Moundbuilders Guidance Center, Inc |
|---|---|
| Speciality | Counselor |
| Location | 65 Messimer Dr, Newark, Ohio |
| Authorized Official Name and Position | Laura Edelblute (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7407880244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moundbuilders Guidance Center, Inc 65 Messimer Dr Newark OH 43055-1874 Ph: (740) 522-8477 | Moundbuilders Guidance Center, Inc 65 Messimer Dr Newark OH 43055-1874 Ph: (740) 522-8477 |
| NPI Number | 1043489503 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 02/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043489503 | NPI | - | NPPES |
| 2485734 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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