| Oceans Ark Counseling Llc | |
|
764 Clough Pike Cincinnati OH 45245-1726 | |
| (513) 620-4388 | |
| Not Available |
| Full Name | Oceans Ark Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 764 Clough Pike, Cincinnati, Ohio |
| Authorized Official Name and Position | Jill Trigg (OWNER) |
| Authorized Official Contact | 5133748375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oceans Ark Counseling Llc 1280 Columbus Ave Cincinnati OH 45255-3014 Ph: (513) 374-8375 | Oceans Ark Counseling Llc 764 Clough Pike Cincinnati OH 45245-1726 Ph: (513) 620-4388 |
| NPI Number | 1558951459 |
|---|---|
| Provider Enumeration Date | 01/25/2021 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Medicare PECOS PAC ID | 1355757618 |
|---|---|
| Medicare Enrollment ID | O20210310003074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558951459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Dennis M Moell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376899377 PECOS PAC ID: 5092096214 Enrollment ID: I20161230001632 |
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