Sylvania Therapy And Counseling | |
5800 Monroe St Ste A1 Sylvania OH 43560-2208 | |
(419) 517-7073 | |
(419) 517-0122 |
Full Name | Sylvania Therapy And Counseling |
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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 |
---|---|
Sylvania Therapy And Counseling 5800 Monroe St Ste A1 Sylvania OH 43560-2208 Ph: (419) 517-7073 | Sylvania Therapy And Counseling 5800 Monroe St Ste A1 Sylvania OH 43560-2208 Ph: (419) 517-7073 |
NPI Number | 1396250338 |
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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 |
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