| Southeastern Ohio Counseling Center, Llc. | |
|
239a Old National Rd Old Washington OH 43768 | |
| (740) 489-5571 | |
| (740) 489-5004 |
| Full Name | Southeastern Ohio Counseling Center, Llc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 239a Old National Rd, Old Washington, Ohio |
| Authorized Official Name and Position | Amanda L Mcglumphy (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7402609440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Ohio Counseling Center, Llc. Po Box 94 Old Washington OH 43768-0094 Ph: (740) 260-9440 | Southeastern Ohio Counseling Center, Llc. 239a Old National Rd Old Washington OH 43768 Ph: (740) 489-5571 |
| NPI Number | 1679844526 |
|---|---|
| Provider Enumeration Date | 01/24/2012 |
| Last Update Date | 03/09/2022 |
| Certification Date | 02/24/2022 |
| Medicare PECOS PAC ID | 0042511834 |
|---|---|
| Medicare Enrollment ID | O20151221001732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679844526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I050001 (Ohio) | Primary |
| Provider Name | Rachel Ellen Cronin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629341094 PECOS PAC ID: 7719148204 Enrollment ID: I20120410000277 |
| Provider Name | Jessica Jewell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437587235 PECOS PAC ID: 6608002597 Enrollment ID: I20131125000862 |
| Provider Name | Amanda L Mcglumphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356607378 PECOS PAC ID: 6406157205 Enrollment ID: I20151221002241 |
| Provider Name | Nicole M Huey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730445545 PECOS PAC ID: 7214238021 Enrollment ID: I20151221002470 |
| Provider Name | Gabrielle N Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417455577 PECOS PAC ID: 2365794997 Enrollment ID: I20181010001230 |
| Provider Name | Morgan R Snellgrove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306217088 PECOS PAC ID: 3779823380 Enrollment ID: I20190319000493 |
| Provider Name | Aubrey A Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740647882 PECOS PAC ID: 9739514506 Enrollment ID: I20200124001455 |
| Provider Name | Courtney A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073036190 PECOS PAC ID: 1254744949 Enrollment ID: I20210120000748 |
| Provider Name | Ashley E Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932613130 PECOS PAC ID: 3971990946 Enrollment ID: I20220420002875 |
| Provider Name | Kayla A Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710313382 PECOS PAC ID: 6800277708 Enrollment ID: I20220725001369 |
| Provider Name | Ashlee B Mcelwain |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1841435740 PECOS PAC ID: 1355718719 Enrollment ID: I20221028000247 |
| Provider Name | Larkin Warsinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508334731 PECOS PAC ID: 2567816788 Enrollment ID: I20230921002714 |
Southeastern Ohio Counseling Center, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 239a Old National Road, Old Washington, OH 43768 Phone: 740-489-5571 Fax: 740-489-5004 |