Wellness Card Llc | |
1320 Woodman Dr Dayton OH 45432-3497 | |
(937) 223-1781 | |
(937) 424-8656 |
Full Name | Wellness Card Llc |
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Speciality | Clinic/Center |
Location | 1320 Woodman Dr, Dayton, Ohio |
Authorized Official Name and Position | Jeffrey Frank Kolaczkowski (OWNER/DIRECTOR) |
Authorized Official Contact | 9372231781 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellness Card Llc 1320 Woodman Dr Dayton OH 45432-3497 Ph: (937) 223-1781 | Wellness Card Llc 1320 Woodman Dr Dayton OH 45432-3497 Ph: (937) 223-1781 |
NPI Number | 1558678151 |
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Provider Enumeration Date | 09/03/2010 |
Last Update Date | 09/03/2010 |
Medicare PECOS PAC ID | 6800078791 |
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Medicare Enrollment ID | O20110314001091 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558678151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Kenneth D Glass |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417934340 PECOS PAC ID: 7315996949 Enrollment ID: I20050201000467 |
Provider Name | Jeffrey Frank Kolaczkowski |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821070137 PECOS PAC ID: 2961316989 Enrollment ID: I20050714001092 |
Provider Name | Darshan Singh Sehbi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851370696 PECOS PAC ID: 4981634219 Enrollment ID: I20050817000073 |
Provider Name | Sandra Harewood |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063685014 PECOS PAC ID: 2769543800 Enrollment ID: I20081208000107 |
Provider Name | Charles L Walters |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598745556 PECOS PAC ID: 4486779766 Enrollment ID: I20100909000721 |
Provider Name | Shirlann D Knight |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1982810198 PECOS PAC ID: 4082874474 Enrollment ID: I20120321000796 |
Provider Name | Darrell M Guest |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609853753 PECOS PAC ID: 4082869342 Enrollment ID: I20130313000123 |
Provider Name | Cindy J Michael |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609100973 PECOS PAC ID: 5597909457 Enrollment ID: I20130913000579 |
Provider Name | Epie Ajebe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861729071 PECOS PAC ID: 3072745413 Enrollment ID: I20140416002513 |
Provider Name | Simran Sehbi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215958582 PECOS PAC ID: 8224339601 Enrollment ID: I20151209002523 |
Provider Name | Emily A Porter |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548524077 PECOS PAC ID: 8628234598 Enrollment ID: I20160105002220 |
Provider Name | Merope Patterson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013355965 PECOS PAC ID: 6901108125 Enrollment ID: I20160105002519 |
Provider Name | Kelly K Ryan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134675192 PECOS PAC ID: 6608156716 Enrollment ID: I20161207001519 |
Provider Name | Obed C Anya |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245529957 PECOS PAC ID: 1153745062 Enrollment ID: I20200724002071 |
Provider Name | Lisa Goecke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427772821 PECOS PAC ID: 2769857986 Enrollment ID: I20230331000602 |
Provider Name | Kimberly L Swartz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497425169 PECOS PAC ID: 7113384975 Enrollment ID: I20230609000447 |
Provider Name | Diana Schultz |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1578549952 PECOS PAC ID: 2264879386 Enrollment ID: I20240326000714 |
Provider Name | Audrey Violand |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710965546 PECOS PAC ID: 9234576299 Enrollment ID: I20240326002424 |
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Eastway Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Wayne Ave, Dayton, OH 45410 Phone: 937-496-2000 Fax: 937-463-2901 | |
Best Life E-therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Needmore Rd, Dayton, OH 45414 Phone: 937-764-3847 | |
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