| Shawnee Counseling Center Llc | |
|
519 Court St Portsmouth OH 45662-3933 | |
| (740) 876-4370 | |
| (740) 529-1818 |
| Full Name | Shawnee Counseling Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 519 Court St, Portsmouth, Ohio |
| Authorized Official Name and Position | Holly Gail Fansler (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8634732083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee Counseling Center Llc 519 Court St Portsmouth OH 45662-3933 Ph: (740) 876-4370 | Shawnee Counseling Center Llc 519 Court St Portsmouth OH 45662-3933 Ph: (740) 876-4370 |
| NPI Number | 1780278705 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780278705 | NPI | - | NPPES |
| 0353310 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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