| Creekside Counseling And Wellness, Llc | |
|
80 S Columbus St Sunbury OH 43074-9480 | |
| (740) 330-4310 | |
| (740) 330-4330 |
| Full Name | Creekside Counseling And Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 80 S Columbus St, Sunbury, Ohio |
| Authorized Official Name and Position | Ulrike Jennifer Erika Martin (OWNER/OPERATOR) |
| Authorized Official Contact | 7403304310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Counseling And Wellness, Llc 1970 N County Road 605 Sunbury OH 43074-8981 Ph: (740) 330-4310 | Creekside Counseling And Wellness, Llc 80 S Columbus St Sunbury OH 43074-9480 Ph: (740) 330-4310 |
| NPI Number | 1639856651 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Medicare PECOS PAC ID | 7911360367 |
|---|---|
| Medicare Enrollment ID | O20230831003818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639856651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ulrike Jennifer Erika Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003495060 PECOS PAC ID: 1951774249 Enrollment ID: I20230307003344 |
Covenant Integrative Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9633 E State Route 37, Sunbury, OH 43074 Phone: 614-309-2270 Fax: 614-436-6884 |