| Scott A Soeder Counseling Svcs Llc | |
|
20620 John Carroll Blvd Ste 202 University Heights OH 44118-4540 | |
| (330) 520-8343 | |
| Not Available |
| Full Name | Scott A Soeder Counseling Svcs Llc |
|---|---|
| Speciality | Counselor |
| Location | 20620 John Carroll Blvd Ste 202, University Heights, Ohio |
| Authorized Official Name and Position | Scott A Soeder (OWNER) |
| Authorized Official Contact | 3305208343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott A Soeder Counseling Svcs Llc 20620 John Carroll Blvd Ste 202 University Heights OH 44118-4540 Ph: (330) 520-8343 | Scott A Soeder Counseling Svcs Llc 20620 John Carroll Blvd Ste 202 University Heights OH 44118-4540 Ph: (330) 520-8343 |
| NPI Number | 1043916109 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 5890133631 |
|---|---|
| Medicare Enrollment ID | O20240329001340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043916109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Scott Soeder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669876827 PECOS PAC ID: 6709239676 Enrollment ID: I20240126001564 |
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