| Phoenix Counseling & Mediation Services Llc | |
|
670a E Main St Barnesville OH 43713-1455 | |
| (740) 619-0363 | |
| (740) 619-0347 |
| Full Name | Phoenix Counseling & Mediation Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 670a E Main St, Barnesville, Ohio |
| Authorized Official Name and Position | Penelope Dawn Shepherd (OWNER/CLINICAL SUPERVISOR) |
| Authorized Official Contact | 7406190363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Counseling & Mediation Services Llc 670a E Main St Barnesville OH 43713-1455 Ph: (740) 619-0363 | Phoenix Counseling & Mediation Services Llc 670a E Main St Barnesville OH 43713-1455 Ph: (740) 619-0363 |
| NPI Number | 1689144834 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689144834 | NPI | - | NPPES |
| 0083745 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Behavioral Health Of Barnesville Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Main St, Barnesville, OH 43713 Phone: 740-238-0837 |