| Starz Counseling, Llc | |
|
25 N Canfield Niles Rd Ste 45 Austintown OH 44515-2308 | |
| (330) 501-1545 | |
| Not Available |
| Full Name | Starz Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 25 N Canfield Niles Rd Ste 45, Austintown, Ohio |
| Authorized Official Name and Position | Reyna Thomae-starzyk (OWNER) |
| Authorized Official Contact | 3305011545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starz Counseling, Llc 25 N Canfield Niles Rd Ste 45 Austintown OH 44515-2308 Ph: (330) 501-1545 | Starz Counseling, Llc 25 N Canfield Niles Rd Ste 45 Austintown OH 44515-2308 Ph: (330) 501-1545 |
| NPI Number | 1720766975 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 09/01/2023 |
| Certification Date | 09/01/2023 |
| Medicare PECOS PAC ID | 3779934120 |
|---|---|
| Medicare Enrollment ID | O20240110000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720766975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Reyna Marian Thomae-starzyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790274306 PECOS PAC ID: 5799110151 Enrollment ID: I20200114001094 |
| Provider Name | Derek J Doss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336658301 PECOS PAC ID: 8729436431 Enrollment ID: I20231117002831 |
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