| Ohio Therapy Center And Psychological Services | |
|
860 Boardman Canfield Rd Ste 203 Youngstown OH 44512-4235 | |
| (330) 779-1333 | |
| Not Available |
| Full Name | Ohio Therapy Center And Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 860 Boardman Canfield Rd Ste 203, Youngstown, Ohio |
| Authorized Official Name and Position | Kearisten Gaines (OWNER) |
| Authorized Official Contact | 3305403440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Therapy Center And Psychological Services 860 Boardman Canfield Rd Ste 203 Youngstown OH 44512-4235 Ph: (330) 779-1333 | Ohio Therapy Center And Psychological Services 860 Boardman Canfield Rd Ste 203 Youngstown OH 44512-4235 Ph: (330) 779-1333 |
| NPI Number | 1457954554 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Medicare PECOS PAC ID | 9234545963 |
|---|---|
| Medicare Enrollment ID | O20210304001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457954554 | NPI | - | NPPES |
| Provider Name | Kearisten Gaines |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285235408 PECOS PAC ID: 5395152250 Enrollment ID: I20210322001883 |
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