| Booth Counseling Services | |
|
7225 E Firelands Dr Hudson OH 44236-2450 | |
| (440) 241-0763 | |
| Not Available |
| Full Name | Booth Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 7225 E Firelands Dr, Hudson, Ohio |
| Authorized Official Name and Position | Franaces E Voll (CREDENTIALING ADMIN) |
| Authorized Official Contact | 4402410763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Booth Counseling Services Po Box 2192 Hudson OH 44236-0192 Ph: (440) 241-0763 | Booth Counseling Services 7225 E Firelands Dr Hudson OH 44236-2450 Ph: (440) 241-0763 |
| NPI Number | 1174172597 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/17/2021 |
| Medicare PECOS PAC ID | 7618209693 |
|---|---|
| Medicare Enrollment ID | O20191023003139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174172597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Diane Moreno Zerby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679601165 PECOS PAC ID: 7416059118 Enrollment ID: I20070227000463 |
| Provider Name | Sara M Booth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851553069 PECOS PAC ID: 9638242613 Enrollment ID: I20080724000198 |
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