| Collier-freed Psychotherapy | |
|
7086 Corporate Way Ste 101 Dayton OH 45459-4298 | |
| (801) 540-1212 | |
| Not Available |
| Full Name | Collier-freed Psychotherapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 7086 Corporate Way Ste 101, Dayton, Ohio |
| Authorized Official Name and Position | Robert Darryl Collier-freed (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 8015401212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collier-freed Psychotherapy 9072 Academy View Ct Dayton OH 45458-9657 Ph: (801) 540-1212 | Collier-freed Psychotherapy 7086 Corporate Way Ste 101 Dayton OH 45459-4298 Ph: (801) 540-1212 |
| NPI Number | 1457971210 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Medicare PECOS PAC ID | 5890235105 |
|---|---|
| Medicare Enrollment ID | O20240912001737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457971210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Robert Collier-freed |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942440078 PECOS PAC ID: 6305386616 Enrollment ID: I20240912002003 |
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