| Aaron's Hope L.l.c. | |
|
14161 W River Rd Columbia Station OH 44028-8953 | |
| (440) 529-9419 | |
| Not Available |
| Full Name | Aaron's Hope L.l.c. |
|---|---|
| Speciality | Counselor |
| Location | 14161 W River Rd, Columbia Station, Ohio |
| Authorized Official Name and Position | Rick Swartz (BUSINESS MANAGER) |
| Authorized Official Contact | 4403151798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron's Hope L.l.c. Po Box 1075 Columbia Station OH 44028-1075 Ph: (440) 529-9419 | Aaron's Hope L.l.c. 14161 W River Rd Columbia Station OH 44028-8953 Ph: (440) 529-9419 |
| NPI Number | 1518465889 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Medicare PECOS PAC ID | 7517349772 |
|---|---|
| Medicare Enrollment ID | O20220804000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518465889 | NPI | - | NPPES |
| 0257153 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.1700421 (Ohio) | Primary |
| 104100000X | Social Worker | S.0009823 (Ohio) | Secondary |
| Provider Name | Amy Petrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407304470 PECOS PAC ID: 5698105096 Enrollment ID: I20200427002208 |
| Provider Name | Dawn Swartz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942712427 PECOS PAC ID: 9032591292 Enrollment ID: I20240314002939 |