Open Water Counseling And Recovery, Llc | |
1716 North Rd Se Warren OH 44484-2907 | |
(330) 539-3200 | |
(330) 529-5241 |
Full Name | Open Water Counseling And Recovery, Llc |
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Speciality | Counselor |
Location | 1716 North Rd Se, Warren, Ohio |
Authorized Official Name and Position | Thomas Dewey (PRESIDENT) |
Authorized Official Contact | 3305393200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Open Water Counseling And Recovery, Llc 5547 Mahoning Ave # 143 Austintown OH 44515-2316 Ph: (330) 539-3200 | Open Water Counseling And Recovery, Llc 1716 North Rd Se Warren OH 44484-2907 Ph: (330) 539-3200 |
NPI Number | 1932747888 |
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Provider Enumeration Date | 12/11/2019 |
Last Update Date | 04/24/2024 |
Certification Date | 04/20/2024 |
Medicare PECOS PAC ID | 8527487750 |
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Medicare Enrollment ID | O20201007001578 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932747888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Robert F Naples |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396914040 PECOS PAC ID: 3678642345 Enrollment ID: I20080521000211 |
Provider Name | Tina M Femia |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1851716583 PECOS PAC ID: 9234361205 Enrollment ID: I20140407001620 |
Provider Name | Melissa A Novits |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073939633 PECOS PAC ID: 3072737865 Enrollment ID: I20140618000578 |
Provider Name | Barbara Walsh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598135790 PECOS PAC ID: 1759681729 Enrollment ID: I20151123002100 |
Provider Name | Melody Wright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578008801 PECOS PAC ID: 2860773603 Enrollment ID: I20170110000991 |
Provider Name | Hannah Z Naso |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053749408 PECOS PAC ID: 7810311347 Enrollment ID: I20200716003313 |
Provider Name | Stacy Horvath |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073284600 PECOS PAC ID: 8123472818 Enrollment ID: I20230928003585 |
Provider Name | Thomas Ross Dewey |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1477057388 PECOS PAC ID: 4688093818 Enrollment ID: I20240108004649 |
Provider Name | Joshua J Pontius |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1548647597 PECOS PAC ID: 5395196497 Enrollment ID: I20240112000917 |
Provider Name | Jerret Kolesar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104558840 PECOS PAC ID: 0345685186 Enrollment ID: I20240301003427 |
Provider Name | Jennifer Lynn Poling |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629563226 PECOS PAC ID: 9739526328 Enrollment ID: I20240319000547 |
Provider Name | Monica Lynn Franklin |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609215318 PECOS PAC ID: 2365883113 Enrollment ID: I20240511000297 |
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