| Austin Counseling Center For Women & Families | |
|
4938 Glenridge Cir Ne Canton OH 44714-1135 | |
| (440) 213-2906 | |
| Not Available |
| Full Name | Austin Counseling Center For Women & Families |
|---|---|
| Speciality | Clinic/Center |
| Location | 4938 Glenridge Cir Ne, Canton, Ohio |
| Authorized Official Name and Position | Julianne Skrovan Massimo (DIRECTOR) |
| Authorized Official Contact | 4402132906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Counseling Center For Women & Families 4938 Glenridge Cir Ne Canton OH 44714-1135 Ph: (440) 213-2906 | Austin Counseling Center For Women & Families 4938 Glenridge Cir Ne Canton OH 44714-1135 Ph: (440) 213-2906 |
| NPI Number | 1154095271 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Medicare PECOS PAC ID | 6002354602 |
|---|---|
| Medicare Enrollment ID | O20240814001565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154095271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Julianne Skrovan Massimo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962913574 PECOS PAC ID: 8729526322 Enrollment ID: I20240814001829 |
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