| Anew Behavioral Health, Llc | |
|
400 E State St Athens OH 45701-1856 | |
| (740) 249-4514 | |
| Not Available |
| Full Name | Anew Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 E State St, Athens, Ohio |
| Authorized Official Name and Position | Brittany R Pratt (ADMINISTRATOR) |
| Authorized Official Contact | 7402494514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anew Behavioral Health, Llc 400 E State St Ste D Athens OH 45701-1856 Ph: (740) 249-4514 | Anew Behavioral Health, Llc 400 E State St Athens OH 45701-1856 Ph: (740) 249-4514 |
| NPI Number | 1215554779 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Medicare PECOS PAC ID | 2567855349 |
|---|---|
| Medicare Enrollment ID | O20220201000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215554779 | NPI | - | NPPES |
| Provider Name | Arthur J Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932299161 PECOS PAC ID: 9739187246 Enrollment ID: I20061116000543 |
| Provider Name | Luke Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629475397 PECOS PAC ID: 9335465913 Enrollment ID: I20150225000853 |
| Provider Name | Keith Frazier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588027593 PECOS PAC ID: 5890075196 Enrollment ID: I20161202000535 |
| Provider Name | Kc Montoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194232652 PECOS PAC ID: 0244645984 Enrollment ID: I20210210003113 |
| Provider Name | Michael Boggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891038824 PECOS PAC ID: 2062725658 Enrollment ID: I20210513002711 |
| Provider Name | Samantha Wingo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558887828 PECOS PAC ID: 2264810332 Enrollment ID: I20220601001442 |
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