| Comprehensive Psychological Counseling,inc | |
|
7575 Fredle Dr Suite 102 Concord Twp OH 44077-9413 | |
| (440) 725-9801 | |
| (440) 358-0058 |
| Full Name | Comprehensive Psychological Counseling,inc |
|---|---|
| Speciality | Social Worker |
| Location | 7575 Fredle Dr, Concord Twp, Ohio |
| Authorized Official Name and Position | Lauren Carter (OWNER) |
| Authorized Official Contact | 4407259801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychological Counseling,inc 7575 Fredle Dr Suite 102 Concord Twp OH 44077-9413 Ph: (440) 725-9801 | Comprehensive Psychological Counseling,inc 7575 Fredle Dr Suite 102 Concord Twp OH 44077-9413 Ph: (440) 725-9801 |
| NPI Number | 1386053114 |
|---|---|
| Provider Enumeration Date | 08/06/2014 |
| Last Update Date | 06/20/2018 |
| Medicare PECOS PAC ID | 0244552198 |
|---|---|
| Medicare Enrollment ID | O20141203000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386053114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I0007251 (Ohio) | Primary |
| Provider Name | Lauren Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962444927 PECOS PAC ID: 6507855632 Enrollment ID: I20040512000396 |
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