| Dimensional Wellness Llc | |
|
150 1/2 E. High St. Saint Marys OH 45885 | |
| (419) 953-2159 | |
| (419) 595-4725 |
| Full Name | Dimensional Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 150 1/2 E. High St., Saint Marys, Ohio |
| Authorized Official Name and Position | Elizabeth Kaitlynn Leotta Osborne (OWNER/THERAPIST) |
| Authorized Official Contact | 4199532159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dimensional Wellness Llc 522 E High St Saint Marys OH 45885-2330 Ph: (419) 953-2159 | Dimensional Wellness Llc 150 1/2 E. High St. Saint Marys OH 45885 Ph: (419) 953-2159 |
| NPI Number | 1083232417 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 09/03/2020 |
| Certification Date | 09/03/2020 |
| Medicare PECOS PAC ID | 4688086051 |
|---|---|
| Medicare Enrollment ID | O20201209002654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083232417 | NPI | - | NPPES |
| Provider Name | Elizabeth Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396168662 PECOS PAC ID: 3173752011 Enrollment ID: I20140218001966 |
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