| Sweet Therapy Counseling Llc | |
|
547 Niles Vienna Rd Vienna OH 44473-9519 | |
| (330) 519-9539 | |
| (716) 219-5048 |
| Full Name | Sweet Therapy Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 547 Niles Vienna Rd, Vienna, Ohio |
| Authorized Official Name and Position | Vanessa Vince-deniro (COUNSELOR) |
| Authorized Official Contact | 3305199539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweet Therapy Counseling Llc 547 Niles Vienna Rd Vienna OH 44473-9519 Ph: (330) 519-9539 | Sweet Therapy Counseling Llc 547 Niles Vienna Rd Vienna OH 44473-9519 Ph: (330) 519-9539 |
| NPI Number | 1063074219 |
|---|---|
| Provider Enumeration Date | 07/08/2019 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 4486099959 |
|---|---|
| Medicare Enrollment ID | O20240224000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063074219 | NPI | - | NPPES |
| 1225492267 | Other | OH | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Provider Name | Vanessa Vince - Deniro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225492267 PECOS PAC ID: 5395180863 Enrollment ID: I20240224000341 |
Aliza M. Prokop Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5114 Ken Ln, Vienna, OH 44473 Phone: 330-716-0182 |