| Alabaster Creative Arts Therapy | |
|
132 S Market St Ste 204 Wooster OH 44691-4765 | |
| (330) 641-4413 | |
| Not Available |
| Full Name | Alabaster Creative Arts Therapy |
|---|---|
| Speciality | Counselor |
| Location | 132 S Market St Ste 204, Wooster, Ohio |
| Authorized Official Name and Position | Leah M Mendez Carmona (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3306414413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alabaster Creative Arts Therapy 132 S Market St Ste 204 Wooster OH 44691-4765 Ph: (330) 641-4413 | Alabaster Creative Arts Therapy 132 S Market St Ste 204 Wooster OH 44691-4765 Ph: (330) 641-4413 |
| NPI Number | 1992470280 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 08/10/2021 |
| Certification Date | 08/10/2021 |
| Medicare PECOS PAC ID | 8123405586 |
|---|---|
| Medicare Enrollment ID | O20220524002770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992470280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Emily Ann Frazier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700073244 PECOS PAC ID: 0547536591 Enrollment ID: I20171019001458 |
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