| Cassie Eaton, Llc | |
|
330 Greenridge Dr Geneva OH 44041-9186 | |
| (440) 941-5722 | |
| (440) 579-0135 |
| Full Name | Cassie Eaton, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 330 Greenridge Dr, Geneva, Ohio |
| Authorized Official Name and Position | Cassie Eaton (OWNER) |
| Authorized Official Contact | 4409415722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cassie Eaton, Llc 330 Greenridge Dr Geneva OH 44041-9186 Ph: (440) 941-5722 | Cassie Eaton, Llc 330 Greenridge Dr Geneva OH 44041-9186 Ph: (440) 941-5722 |
| NPI Number | 1326546565 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 12/01/2023 |
| Certification Date | 12/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326546565 | NPI | - | NPPES |
| 0392391 | Medicaid | OH | |
| 1437334869 | Other | OH | NPI |
| 0256571 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E.1700330 (Ohio) | Primary |
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