| Progressive Community Initiatives, Llc | |
|
1126 Walton Dr Akron OH 44313-6667 | |
| (330) 801-7953 | |
| Not Available |
| Full Name | Progressive Community Initiatives, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1126 Walton Dr, Akron, Ohio |
| Authorized Official Name and Position | Darletta Turner (CEO, PRESIDENT) |
| Authorized Official Contact | 3308017953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Community Initiatives, Llc 1126 Walton Dr Akron OH 44313-6667 Ph: (330) 801-7953 | Progressive Community Initiatives, Llc 1126 Walton Dr Akron OH 44313-6667 Ph: (330) 801-7953 |
| NPI Number | 1659157089 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 09/01/2023 |
| Certification Date | 09/01/2023 |
| Medicare PECOS PAC ID | 7113377144 |
|---|---|
| Medicare Enrollment ID | O20240103001009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659157089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Darletta Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518418102 PECOS PAC ID: 9931559960 Enrollment ID: I20240103001282 |
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