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5800 Monroe St Ste A1 Sylvania OH 43560-2208 | |
| (419) 517-7073 | |
| (419) 517-0122 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5800 Monroe St Ste A1, Sylvania, Ohio |
| Authorized Official Name and Position | Diana L Theiss (PRACTICE OWNER) |
| Authorized Official Contact | 4198435945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5800 Monroe St Ste A1 Sylvania OH 43560-2208 Ph: (419) 517-7073 | 5800 Monroe St Ste A1 Sylvania OH 43560-2208 Ph: (419) 517-7073 |
| NPI Number | 1396250338 |
|---|---|
| Provider Enumeration Date | 12/13/2017 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396250338 | NPI | - | NPPES |
| 0155198 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I0900183-SUPV (Ohio) | Primary |
Center For Solutions In Brief Therapy, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5600 Monroe St, Suite 103b, Sylvania, OH 43560 Phone: 419-885-5952 Fax: 419-885-7630 | |
Amy Koziarski Lisw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5800 Monroe St Ste H2, Sylvania, OH 43560 Phone: 419-343-7737 | |
Carpe Diem Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6400 Monroe St, Sylvania, OH 43560 Phone: 419-540-1886 |