| Wellspace Therapeutics, Llc | |
|
110 E Poplar St Ste 8 Sidney OH 45365-2986 | |
| (937) 726-0776 | |
| Not Available |
| Full Name | Wellspace Therapeutics, Llc |
|---|---|
| Speciality | Counselor |
| Location | 110 E Poplar St Ste 8, Sidney, Ohio |
| Authorized Official Name and Position | Amy R Krites (OWNER) |
| Authorized Official Contact | 9376384726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspace Therapeutics, Llc 13285 Whitefeather Trl Anna OH 45302-8537 Ph: (937) 726-0776 | Wellspace Therapeutics, Llc 110 E Poplar St Ste 8 Sidney OH 45365-2986 Ph: (937) 726-0776 |
| NPI Number | 1821647181 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Medicare PECOS PAC ID | 4880020395 |
|---|---|
| Medicare Enrollment ID | O20200131001647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821647181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Darla Krites |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558784702 PECOS PAC ID: 8628209061 Enrollment ID: I20140327000783 |
| Provider Name | Amy R Krites |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700358272 PECOS PAC ID: 6709123938 Enrollment ID: I20190128000072 |
Wilson Memorial Behavioral Health Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Michigan St, Sidney, OH 45365 Phone: 937-498-2311 Fax: 937-498-5527 | |
Catholic Social Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 100 S. Main Ave, Suite 101, Sidney, OH 45365 Phone: 397-498-4593 Fax: 937-493-0269 | |
Shelby County Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 N Vandemark Rd, Sidney, OH 45365 Phone: 937-492-6970 Fax: 937-492-6971 | |
Mindy Brumley Pmhnp Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 E North St, Sidney, OH 45365 Phone: 937-214-0380 | |
Journey 4 Self Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 E North St, Sidney, OH 45365 Phone: 937-902-2183 Fax: 937-902-2183 | |
Shelby County Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E Court St, Sidney, OH 45365 Phone: 937-492-8080 Fax: 937-492-6971 | |
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