| Alliance Mental Health, Llc | |
|
4175 Stoneridge Ln Dublin OH 43017-2080 | |
| (918) 608-0380 | |
| Not Available |
| Full Name | Alliance Mental Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4175 Stoneridge Ln, Dublin, Ohio |
| Authorized Official Name and Position | Ronald Lobato (CEO) |
| Authorized Official Contact | 9186080380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Mental Health, Llc Po Box 12192 Denver CO 80212-0192 Ph: (918) 608-0380 | Alliance Mental Health, Llc 4175 Stoneridge Ln Dublin OH 43017-2080 Ph: (918) 608-0380 |
| NPI Number | 1386437978 |
|---|---|
| Provider Enumeration Date | 05/27/2025 |
| Last Update Date | 05/27/2025 |
| Certification Date | 05/27/2025 |
| Medicare PECOS PAC ID | 0345670733 |
|---|---|
| Medicare Enrollment ID | O20250611000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386437978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jessica A White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134502123 PECOS PAC ID: 0143682278 Enrollment ID: I20230821004069 |
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