Stella Luna Counseling And Wellness | |
17951 Jefferson Park Rd Ste 100 Middleburg Heights OH 44130-8439 | |
(440) 879-8517 | |
Not Available |
Full Name | Stella Luna Counseling And Wellness |
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Speciality | Counselor |
Location | 17951 Jefferson Park Rd Ste 100, Middleburg Heights, Ohio |
Authorized Official Name and Position | Jennifer Lynne Digiandomenico (OWNER) |
Authorized Official Contact | 4408798517 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stella Luna Counseling And Wellness 17951 Jefferson Park Rd Ste 100 Middleburg Heights OH 44130-8439 Ph: (440) 879-8517 | Stella Luna Counseling And Wellness 17951 Jefferson Park Rd Ste 100 Middleburg Heights OH 44130-8439 Ph: (440) 879-8517 |
NPI Number | 1033854658 |
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Provider Enumeration Date | 04/28/2022 |
Last Update Date | 11/21/2022 |
Certification Date | 11/21/2022 |
Medicare PECOS PAC ID | 2062889611 |
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Medicare Enrollment ID | O20221110001819 |
Identifier | Type | State | Issuer |
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1033854658 | NPI | - | NPPES |
0000405 | Medicaid | OH |
Provider Name | Diane T Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659708428 PECOS PAC ID: 7315258555 Enrollment ID: I20150615002206 |
Provider Name | Christina Redfern |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740896273 PECOS PAC ID: 3971922139 Enrollment ID: I20201007003108 |
Provider Name | Stephanie Thomas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437643103 PECOS PAC ID: 8426460684 Enrollment ID: I20201210003042 |
Provider Name | Lisa Marie Barto |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649532987 PECOS PAC ID: 7911342811 Enrollment ID: I20240301001634 |
Provider Name | Carrie M Callahan |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1760973622 PECOS PAC ID: 1951746692 Enrollment ID: I20240304002354 |
Provider Name | Brock Owen Bodenbender |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750815452 PECOS PAC ID: 6103261755 Enrollment ID: I20240305002287 |
Provider Name | Jennifer Lynne Digiandomenico |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1457841322 PECOS PAC ID: 2961879515 Enrollment ID: I20240306001890 |
Provider Name | Joseph J Fath |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1285154625 PECOS PAC ID: 2365889748 Enrollment ID: I20240320003575 |
Provider Name | Brianna Adamson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386127124 PECOS PAC ID: 2163869462 Enrollment ID: I20240322000177 |
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