Western Reserve Counseling Llc | |
223 Miller Rd Avon Lake OH 44012-1004 | |
(440) 822-8248 | |
(440) 930-2085 |
Full Name | Western Reserve Counseling Llc |
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Speciality | Counselor |
Location | 223 Miller Rd, Avon Lake, Ohio |
Authorized Official Name and Position | Robin M Hale (PROVIDER) |
Authorized Official Contact | 4408222248 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Western Reserve Counseling Llc 32831 Redwood Blvd Avon Lake OH 44012-1518 Ph: (330) 461-2183 | Western Reserve Counseling Llc 223 Miller Rd Avon Lake OH 44012-1004 Ph: (440) 822-8248 |
NPI Number | 1275924391 |
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Provider Enumeration Date | 02/11/2015 |
Last Update Date | 02/11/2015 |
Medicare PECOS PAC ID | 6800166372 |
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Medicare Enrollment ID | O20240129002299 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275924391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | E.0050965SUPV (Ohio) | Primary |
Provider Name | Robin M Hale |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1841599248 PECOS PAC ID: 3971873340 Enrollment ID: I20240129002666 |
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