Overview Behavioral Health Svc | |
10999 Reed Hartman Hwy Ste 128a Blue Ash OH 45242-8384 | |
(513) 461-2158 | |
Not Available |
Full Name | Overview Behavioral Health Svc |
---|---|
Speciality | Counselor |
Location | 10999 Reed Hartman Hwy Ste 128a, Blue Ash, Ohio |
Authorized Official Name and Position | Monica D Hedges (OWNER) |
Authorized Official Contact | 5134612128 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Overview Behavioral Health Svc 502 Bessinger Dr Cincinnati OH 45240-3924 Ph: (513) 692-0823 | Overview Behavioral Health Svc 10999 Reed Hartman Hwy Ste 128a Blue Ash OH 45242-8384 Ph: (513) 461-2158 |
NPI Number | 1043958663 |
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Provider Enumeration Date | 05/24/2022 |
Last Update Date | 05/31/2022 |
Certification Date | 05/31/2022 |
Medicare PECOS PAC ID | 3971968397 |
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Medicare Enrollment ID | O20230508000968 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043958663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
Provider Name | Mina Devine |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023539954 PECOS PAC ID: 2860728722 Enrollment ID: I20190730003193 |
Provider Name | Rachael E. Dubose |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1841587136 PECOS PAC ID: 5092151647 Enrollment ID: I20240306001793 |
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