| Collaborative Counseling | |
|
10623 South St Garrettsville OH 44231-1108 | |
| (330) 398-5000 | |
| Not Available |
| Full Name | Collaborative Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10623 South St, Garrettsville, Ohio |
| Authorized Official Name and Position | Judith Bernadette Macek (OWNER) |
| Authorized Official Contact | 3303985000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Counseling 12066 Prentiss Rd Garrettsville OH 44231-9694 Ph: () - | Collaborative Counseling 10623 South St Garrettsville OH 44231-1108 Ph: (330) 398-5000 |
| NPI Number | 1699301234 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 03/16/2020 |
| Certification Date | 03/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699301234 | NPI | - | NPPES |
| 1669874251 | Other | NATIONAL PROVIDER IDENTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |