| Behavioral Health Consulting Group, Inc. | |
|
4350 Sir Robert Ave North Royalton OH 44133-4139 | |
| (440) 390-8903 | |
| Not Available |
| Full Name | Behavioral Health Consulting Group, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 4350 Sir Robert Ave, North Royalton, Ohio |
| Authorized Official Name and Position | Richard Rowlett (PRESIDENT) |
| Authorized Official Contact | 4403908903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Consulting Group, Inc. Po Box 660 Mentor OH 44061-0660 Ph: (440) 230-5384 | Behavioral Health Consulting Group, Inc. 4350 Sir Robert Ave North Royalton OH 44133-4139 Ph: (440) 390-8903 |
| NPI Number | 1134121510 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 6709952344 |
|---|---|
| Medicare Enrollment ID | O20080905000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134121510 | NPI | - | NPPES |
| 000000296009 | Other | OH | ANTHEM BLUE SHIELD |
| 2853318 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Ohio) | Primary |
| Provider Name | Richard K Rowlett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336149699 PECOS PAC ID: 1254407885 Enrollment ID: I20080905000424 |
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