| White Stone Psychiatric Services, Llc | |
|
5108 Sandy Ln Fairfield OH 45014-2738 | |
| (513) 234-5959 | |
| Not Available |
| Full Name | White Stone Psychiatric Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 5108 Sandy Ln, Fairfield, Ohio |
| Authorized Official Name and Position | Jeremy Carpenter (OWNER) |
| Authorized Official Contact | 5136736740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Stone Psychiatric Services, Llc 5108 Sandy Ln Fairfield OH 45014-2738 Ph: (513) 234-5959 | White Stone Psychiatric Services, Llc 5108 Sandy Ln Fairfield OH 45014-2738 Ph: (513) 234-5959 |
| NPI Number | 1891151304 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891151304 | NPI | - | NPPES |
| 0156279 | Medicaid | OH |
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