| New Vision Behavioral Health Services, Llc | |
|
80 E Midlothian Blvd Youngstown OH 44507-2019 | |
| (330) 234-5251 | |
| (330) 234-5251 |
| Full Name | New Vision Behavioral Health Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 80 E Midlothian Blvd, Youngstown, Ohio |
| Authorized Official Name and Position | Hasheen Wilson (OWNER) |
| Authorized Official Contact | 3302345251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Vision Behavioral Health Services, Llc 80 E Midlothian Blvd Youngstown OH 44507-2019 Ph: (330) 707-4636 | New Vision Behavioral Health Services, Llc 80 E Midlothian Blvd Youngstown OH 44507-2019 Ph: (330) 234-5251 |
| NPI Number | 1629684725 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Medicare PECOS PAC ID | 1456752450 |
|---|---|
| Medicare Enrollment ID | O20210629000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629684725 | NPI | - | NPPES |
| 0441363 | Medicaid | OH |
| Provider Name | Ryan Scott Nagy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366603516 PECOS PAC ID: 5698961068 Enrollment ID: I20120821000286 |
| Provider Name | Briana Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225408123 PECOS PAC ID: 2961705348 Enrollment ID: I20160119000743 |
| Provider Name | Jennifer Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174994693 PECOS PAC ID: 2860702735 Enrollment ID: I20171003007163 |
| Provider Name | Allesha Crawley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306390331 PECOS PAC ID: 5597005173 Enrollment ID: I20190318001942 |
| Provider Name | Joseph D Flask |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881230811 PECOS PAC ID: 8123454865 Enrollment ID: I20200128003245 |
New Vision Behavioral Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 E Midlothian Blvd, Youngstown, OH 44507 Phone: 330-234-5251 Fax: 330-234-5251 | |
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