Community Wellness And Intervention | |
3433 Agler Rd Ste 2000 Columbus OH 43219-3397 | |
(216) 278-1292 | |
Not Available |
Full Name | Community Wellness And Intervention |
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Speciality | Community/Behavioral Health |
Location | 3433 Agler Rd Ste 2000, Columbus, Ohio |
Authorized Official Name and Position | Sheonkei M Givner (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2162781292 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Wellness And Intervention 3433 Agler Rd Ste 2000 Columbus OH 43219-3397 Ph: (216) 278-1292 | Community Wellness And Intervention 3433 Agler Rd Ste 2000 Columbus OH 43219-3397 Ph: (216) 278-1292 |
NPI Number | 1871356337 |
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Provider Enumeration Date | 02/06/2024 |
Last Update Date | 06/04/2024 |
Certification Date | 06/04/2024 |
Medicare PECOS PAC ID | 5395287452 |
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Medicare Enrollment ID | O20241022001830 |
Identifier | Type | State | Issuer |
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1871356337 | NPI | - | NPPES |
Provider Name | Wesley Hard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689630329 PECOS PAC ID: 0345274221 Enrollment ID: I20090707000555 |
Provider Name | Tijuana Thompson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1851956213 PECOS PAC ID: 9739616608 Enrollment ID: I20241217003300 |
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