Recoup Plus Relief Counseling & Therapeutic Services Comma Llc | |
803 E Washington St Ste 200 Medina OH 44256-3326 | |
(330) 636-5000 | |
Not Available |
Full Name | Recoup Plus Relief Counseling & Therapeutic Services Comma Llc |
---|---|
Speciality | Counselor |
Location | 803 E Washington St Ste 200, Medina, Ohio |
Authorized Official Name and Position | Dereka Feiler (OWNER/PROVIDER) |
Authorized Official Contact | 3306365000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Recoup Plus Relief Counseling & Therapeutic Services Comma Llc 803 E Washington St Ste 200 Medina OH 44256-3326 Ph: (330) 636-5000 | Recoup Plus Relief Counseling & Therapeutic Services Comma Llc 803 E Washington St Ste 200 Medina OH 44256-3326 Ph: (330) 636-5000 |
NPI Number | 1063091684 |
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Provider Enumeration Date | 04/02/2021 |
Last Update Date | 05/28/2024 |
Certification Date | 05/28/2024 |
Medicare PECOS PAC ID | 2466851332 |
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Medicare Enrollment ID | O20210525003280 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063091684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Dereka Feiler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194304758 PECOS PAC ID: 5193124063 Enrollment ID: I20210525003331 |
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