Positive Pathways Llc | |
800 Compton Rd Unit 12 Cincinnati OH 45231-3846 | |
(513) 521-3175 | |
(513) 521-3477 |
Full Name | Positive Pathways Llc |
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Speciality | Counselor |
Location | 800 Compton Rd Unit 12, Cincinnati, Ohio |
Authorized Official Name and Position | Anne M Mangold (OWNER) |
Authorized Official Contact | 8595120334 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Positive Pathways Llc 7000 Houston Rd Suite 29 Florence KY 41042-4879 Ph: (859) 746-9272 | Positive Pathways Llc 800 Compton Rd Unit 12 Cincinnati OH 45231-3846 Ph: (513) 521-3175 |
NPI Number | 1386706893 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 03/17/2018 |
Medicare PECOS PAC ID | 8820075880 |
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Medicare Enrollment ID | O20120215000829 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386706893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 193400000X (Kentucky) | Primary |
Provider Name | Anne Marie Mangold |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720136286 PECOS PAC ID: 2264419225 Enrollment ID: I20120215000853 |
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