| Shawnee Mental Health Inc | |
|
901 Washington St Portsmouth OH 45662-3944 | |
| (740) 354-7702 | |
| (740) 353-1662 |
| Full Name | Shawnee Mental Health Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 901 Washington St, Portsmouth, Ohio |
| Authorized Official Name and Position | Cynthia Holstein (CEO) |
| Authorized Official Contact | 7403547702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee Mental Health Inc 901 Washington St Portsmouth OH 45662-3944 Ph: (740) 354-7702 | Shawnee Mental Health Inc 901 Washington St Portsmouth OH 45662-3944 Ph: (740) 354-7702 |
| NPI Number | 1346412061 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346412061 | NPI | - | NPPES |
| 2475629 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (Ohio) | Primary |
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