Pastoral Counseling Service Of Summit County | |
611 W Market St Akron OH 44303-1406 | |
(330) 996-4600 | |
(330) 564-9296 |
Full Name | Pastoral Counseling Service Of Summit County |
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Speciality | Community/Behavioral Health |
Location | 611 W Market St, Akron, Ohio |
Authorized Official Name and Position | Lesli Eisenhart (MANAGER OF ACCOUNT REC) |
Authorized Official Contact | 3309964600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pastoral Counseling Service Of Summit County 611 W Market St Akron OH 44303-1406 Ph: (330) 996-4600 | Pastoral Counseling Service Of Summit County 611 W Market St Akron OH 44303-1406 Ph: (330) 996-4600 |
NPI Number | 1790819852 |
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Provider Enumeration Date | 03/14/2007 |
Last Update Date | 02/21/2020 |
Certification Date | 02/21/2020 |
Medicare PECOS PAC ID | 9638326804 |
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Medicare Enrollment ID | O20120822000575 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790819852 | NPI | - | NPPES |
44-19 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Antonia L Fitzgerald |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255364576 PECOS PAC ID: 8527008002 Enrollment ID: I20050504000176 |
Provider Name | Joy M Sedlock |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1285687186 PECOS PAC ID: 9133152879 Enrollment ID: I20050914000268 |
Provider Name | Sarah L Wise |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871738856 PECOS PAC ID: 4183810914 Enrollment ID: I20101119000008 |
Provider Name | Julie M Stone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477803419 PECOS PAC ID: 1557512266 Enrollment ID: I20121106000188 |
Provider Name | Kimberly A Heishman-donahue |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578519294 PECOS PAC ID: 5092932392 Enrollment ID: I20140811000981 |
Provider Name | Deanna Christian |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730358359 PECOS PAC ID: 8426276072 Enrollment ID: I20140825000334 |
Provider Name | Audra C Thompson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598064685 PECOS PAC ID: 6002036381 Enrollment ID: I20141008002597 |
Provider Name | Erin E Lane Orentlikher |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932451226 PECOS PAC ID: 1557583341 Enrollment ID: I20141111001489 |
Provider Name | Melanie R Meissner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366819617 PECOS PAC ID: 2961719620 Enrollment ID: I20150914002275 |
Provider Name | Brenda Alexander O Neil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467905778 PECOS PAC ID: 1658651260 Enrollment ID: I20161216000613 |
Provider Name | Kimmeri Ventresca |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457326407 PECOS PAC ID: 8224463682 Enrollment ID: I20200114001164 |
Provider Name | Vashaun O Williams |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730286527 PECOS PAC ID: 0547356883 Enrollment ID: I20210319001829 |
Provider Name | Kelly A Fusco |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043759459 PECOS PAC ID: 6204243165 Enrollment ID: I20210322001774 |
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