| Confluence Counseling Llc | |
|
4800 Scothills Dr Englewood OH 45322-3523 | |
| (937) 520-4942 | |
| Not Available |
| Full Name | Confluence Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4800 Scothills Dr, Englewood, Ohio |
| Authorized Official Name and Position | Ryan Wallerius (OWNER) |
| Authorized Official Contact | 9375204942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Confluence Counseling Llc 4800 Scothills Dr Englewood OH 45322-3523 Ph: (937) 520-4942 | Confluence Counseling Llc 4800 Scothills Dr Englewood OH 45322-3523 Ph: (937) 520-4942 |
| NPI Number | 1558805960 |
|---|---|
| Provider Enumeration Date | 12/05/2016 |
| Last Update Date | 12/05/2016 |
| Medicare PECOS PAC ID | 6002197225 |
|---|---|
| Medicare Enrollment ID | O20161230001598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558805960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ryan Wallerius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356891584 PECOS PAC ID: 7810278033 Enrollment ID: I20161230001657 |
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