| Transitional Life Counseling | |
|
1525 Xenia Ave Yellow Springs OH 45387-1123 | |
| (937) 769-5019 | |
| (937) 769-5019 |
| Full Name | Transitional Life Counseling |
|---|---|
| Speciality | Counselor |
| Location | 1525 Xenia Ave, Yellow Springs, Ohio |
| Authorized Official Name and Position | Rose Mary Shaw (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 9377695019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitional Life Counseling 1525 Xenia Ave Yellow Springs OH 45387-1123 Ph: (937) 769-5019 | Transitional Life Counseling 1525 Xenia Ave Yellow Springs OH 45387-1123 Ph: (937) 769-5019 |
| NPI Number | 1790222370 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 12/04/2017 |
| Medicare PECOS PAC ID | 3870915242 |
|---|---|
| Medicare Enrollment ID | O20200612001987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790222370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E0600045 (Ohio) | Primary |
| 103TC0700X | Psychologist - Clinical | 6323 (Ohio) | Secondary |
| Provider Name | Rose Mary Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043423718 PECOS PAC ID: 2860593407 Enrollment ID: I20070725000771 |
| Provider Name | Jennifer E Swain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134392558 PECOS PAC ID: 7911086939 Enrollment ID: I20080501000728 |
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