| As You Wish Counseling, Llc | |
|
1227 Westshore Dr Ashtabula OH 44004-2329 | |
| (440) 319-9056 | |
| Not Available |
| Full Name | As You Wish Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1227 Westshore Dr, Ashtabula, Ohio |
| Authorized Official Name and Position | Matthew Butler (LLC MEMBER) |
| Authorized Official Contact | 4402760914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| As You Wish Counseling, Llc 1227 Westshore Dr Ashtabula OH 44004-2329 Ph: (440) 276-0914 | As You Wish Counseling, Llc 1227 Westshore Dr Ashtabula OH 44004-2329 Ph: (440) 319-9056 |
| NPI Number | 1770293243 |
|---|---|
| Provider Enumeration Date | 11/25/2022 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Medicare PECOS PAC ID | 2466826466 |
|---|---|
| Medicare Enrollment ID | O20230314001797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770293243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Matthew A Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477814796 PECOS PAC ID: 4385890516 Enrollment ID: I20120803000384 |
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