| Wagoner's Psychological Services, Llc | |
|
2675 Medway New Carlisle Rd Medway OH 45341-9744 | |
| (937) 856-7066 | |
| Not Available |
| Full Name | Wagoner's Psychological Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2675 Medway New Carlisle Rd, Medway, Ohio |
| Authorized Official Name and Position | Alicia Wagoner (OWNER) |
| Authorized Official Contact | 9375461083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wagoner's Psychological Services, Llc 2675 Medway New Carlisle Rd Medway OH 45341-9744 Ph: () - | Wagoner's Psychological Services, Llc 2675 Medway New Carlisle Rd Medway OH 45341-9744 Ph: (937) 856-7066 |
| NPI Number | 1669250296 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 09/15/2023 |
| Certification Date | 09/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669250296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Angelia K Dussia Dba Aletheia Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2675 Medway New Carlisle Rd, Medway, OH 45341 Phone: 937-849-1257 Fax: 937-849-1336 |