| Community Counseling & Wellness Centers-marion | |
|
320 Executive Dr Marion OH 43302-6310 | |
| (419) 522-6191 | |
| Not Available |
| Full Name | Community Counseling & Wellness Centers-marion |
|---|---|
| Speciality | Clinic/Center |
| Location | 320 Executive Dr, Marion, Ohio |
| Authorized Official Name and Position | Peggy Anderson (CEO) |
| Authorized Official Contact | 4195267880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling & Wellness Centers-marion 1404 Park Ave W Suite 2 Mansfield OH 44906-2633 Ph: (419) 522-6191 | Community Counseling & Wellness Centers-marion 320 Executive Dr Marion OH 43302-6310 Ph: (419) 522-6191 |
| NPI Number | 1861170565 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 2365423977 |
|---|---|
| Medicare Enrollment ID | O20230726001766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861170565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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