| Wise Counsel Therapy And Consulting Llc | |
|
26220 Center Ridge Rd Westlake OH 44145-4016 | |
| (440) 665-9289 | |
| Not Available |
| Full Name | Wise Counsel Therapy And Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 26220 Center Ridge Rd, Westlake, Ohio |
| Authorized Official Name and Position | Kerri Ann Mazzone (OWNER) |
| Authorized Official Contact | 4406659289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Counsel Therapy And Consulting Llc 345 Panorama Dr Seven Hills OH 44131-2808 Ph: (440) 665-9289 | Wise Counsel Therapy And Consulting Llc 26220 Center Ridge Rd Westlake OH 44145-4016 Ph: (440) 665-9289 |
| NPI Number | 1588442792 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Medicare PECOS PAC ID | 9335580158 |
|---|---|
| Medicare Enrollment ID | O20240510002512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588442792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kerri A Mazzone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689299190 PECOS PAC ID: 4082003710 Enrollment ID: I20211117002650 |
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