| Redeemed Christian Counseling Llc | |
|
367 W Liberty St Wooster OH 44691-4852 | |
| (330) 749-8813 | |
| Not Available |
| Full Name | Redeemed Christian Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 367 W Liberty St, Wooster, Ohio |
| Authorized Official Name and Position | Emily Ann Frazier (OWNER) |
| Authorized Official Contact | 3307498813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redeemed Christian Counseling Llc 367 W Liberty St Wooster OH 44691-4852 Ph: (330) 749-8813 | Redeemed Christian Counseling Llc 367 W Liberty St Wooster OH 44691-4852 Ph: (330) 749-8813 |
| NPI Number | 1013610948 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Medicare PECOS PAC ID | 9638523780 |
|---|---|
| Medicare Enrollment ID | O20230925000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013610948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Emily Ann Frazier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700073244 PECOS PAC ID: 0547536591 Enrollment ID: I20171019001458 |
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