Start With Hope Llc | |
1206 N Main St Ste 123 North Canton OH 44720-1926 | |
(234) 200-5780 | |
Not Available |
Full Name | Start With Hope Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1206 N Main St Ste 123, North Canton, Ohio |
Authorized Official Name and Position | Tracy With Hope Beresh (PRINCIPAL, CLINICIAN) |
Authorized Official Contact | 2342005780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Start With Hope Llc Po Box 2101 North Canton OH 44720-0101 Ph: (234) 200-5780 | Start With Hope Llc 1206 N Main St Ste 123 North Canton OH 44720-1926 Ph: (234) 200-5780 |
NPI Number | 1902678089 |
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Provider Enumeration Date | 10/23/2023 |
Last Update Date | 10/23/2023 |
Certification Date | 10/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902678089 | NPI | - | NPPES |
0202744 | Medicaid | OH | |
12385514 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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