| Cedar Ridge Behavioral Health Solutions Llc | |
|
841 Steubenville Ave Cambridge OH 43725-2301 | |
| (855) 692-7247 | |
| Not Available |
| Full Name | Cedar Ridge Behavioral Health Solutions Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 841 Steubenville Ave, Cambridge, Ohio |
| Authorized Official Name and Position | Alicia Jean Beynon (OWNER/DIRECTOR) |
| Authorized Official Contact | 8556927247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Ridge Behavioral Health Solutions Llc 1225 Woodlawn Ave Suite112 Cambridge OH 43725-3094 Ph: (855) 692-7247 | Cedar Ridge Behavioral Health Solutions Llc 841 Steubenville Ave Cambridge OH 43725-2301 Ph: (855) 692-7247 |
| NPI Number | 1063779460 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5698927432 |
|---|---|
| Medicare Enrollment ID | O20170509000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063779460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I.0700055-SUPV (Ohio) | Primary |
| Provider Name | Mabbu G Shiva Prasad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083795850 PECOS PAC ID: 2961300637 Enrollment ID: I20031222000143 |
| Provider Name | Alicia Beynon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851435523 PECOS PAC ID: 9234381088 Enrollment ID: I20121218000209 |
| Provider Name | Benjamin Troendly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659797942 PECOS PAC ID: 2769700756 Enrollment ID: I20150423002343 |
| Provider Name | Ashleigh M Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841742814 PECOS PAC ID: 1658651732 Enrollment ID: I20161207000224 |
| Provider Name | Jennifer L Doty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861934143 PECOS PAC ID: 8820411630 Enrollment ID: I20200713002967 |
| Provider Name | Lesleigh E Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831560747 PECOS PAC ID: 9537574587 Enrollment ID: I20210224002757 |
| Provider Name | Katlyn D Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780124925 PECOS PAC ID: 0244636520 Enrollment ID: I20210913000999 |
| Provider Name | Jennifer A Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639697618 PECOS PAC ID: 2769871854 Enrollment ID: I20211110003313 |
| Provider Name | Beth B Bertini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295097988 PECOS PAC ID: 2365826203 Enrollment ID: I20220826001295 |
| Provider Name | Julie M Milliken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104575034 PECOS PAC ID: 8628441375 Enrollment ID: I20230301000333 |
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