| Palm Wellness, Llc | |
|
565 W Bagley Rd Berea OH 44017-1328 | |
| (440) 212-1389 | |
| Not Available |
| Full Name | Palm Wellness, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 565 W Bagley Rd, Berea, Ohio |
| Authorized Official Name and Position | Phillip Palmison (PROFESSIONAL CLINICAL COUNSELOR) |
| Authorized Official Contact | 4402121389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Wellness, Llc 565 W Bagley Rd Berea OH 44017-1328 Ph: (440) 212-1389 | Palm Wellness, Llc 565 W Bagley Rd Berea OH 44017-1328 Ph: (440) 212-1389 |
| NPI Number | 1851999650 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 11/19/2023 |
| Certification Date | 11/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851999650 | NPI | - | NPPES |
| 0202676 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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