| Power Journey | |
|
5790 Stillwell Beckett Rd Oxford OH 45056-8931 | |
| (773) 732-0749 | |
| Not Available |
| Full Name | Power Journey |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5790 Stillwell Beckett Rd, Oxford, Ohio |
| Authorized Official Name and Position | Lara Christine Osborne (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7737320749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Power Journey 5790 Stillwell Beckett Rd Oxford OH 45056-8931 Ph: (773) 732-0749 | Power Journey 5790 Stillwell Beckett Rd Oxford OH 45056-8931 Ph: (773) 732-0749 |
| NPI Number | 1336824697 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Medicare PECOS PAC ID | 7618316936 |
|---|---|
| Medicare Enrollment ID | O20240419001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336824697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lara C Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912424979 PECOS PAC ID: 6709273139 Enrollment ID: I20220503001508 |
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