| A Foundation Of Faith | |
|
3967 Broadview Rd Richfield OH 44286-9501 | |
| (216) 392-8855 | |
| Not Available |
| Full Name | A Foundation Of Faith |
|---|---|
| Speciality | Counselor |
| Location | 3967 Broadview Rd, Richfield, Ohio |
| Authorized Official Name and Position | Esam Joshua Pietras (OWNER) |
| Authorized Official Contact | 2163928855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Foundation Of Faith 3967 Broadview Rd Richfield OH 44286-9501 Ph: (216) 392-8855 | A Foundation Of Faith 3967 Broadview Rd Richfield OH 44286-9501 Ph: (216) 392-8855 |
| NPI Number | 1003588799 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 09/30/2021 |
| Certification Date | 09/30/2021 |
| Medicare PECOS PAC ID | 8224562590 |
|---|---|
| Medicare Enrollment ID | O20241108001202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003588799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Esam Joshua Pietras |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447739495 PECOS PAC ID: 9133653405 Enrollment ID: I20241108001418 |
Shumay Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3928 Brecksville Rd, Richfield, OH 44286 Phone: 216-440-1973 Fax: 216-649-0602 |