| Eden Counseling Center Llc | |
|
8794 Big Bear Ave Powell OH 43065 | |
| (614) 352-6993 | |
| Not Available |
| Full Name | Eden Counseling Center Llc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 8794 Big Bear Ave, Powell, Ohio |
| Authorized Official Name and Position | William Earl Jennings (CEO) |
| Authorized Official Contact | 6143526993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Counseling Center Llc 134 Northwoods Blvd Ste B1 Columbus OH 43235-4727 Ph: () - | Eden Counseling Center Llc 8794 Big Bear Ave Powell OH 43065 Ph: (614) 352-6993 |
| NPI Number | 1982073334 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 12/10/2015 |
| Medicare PECOS PAC ID | 6204138472 |
|---|---|
| Medicare Enrollment ID | O20160105001247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982073334 | NPI | - | NPPES |
| 1093890550 | Other | OH | NPI |
| 1164759866 | Other | OH | NPI |
| 1811144264 | Other | OH | NPI |
| 1538251434 | Other | OH | NPI |
| Provider Name | Tiffany L Bell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164759866 PECOS PAC ID: 1254567001 Enrollment ID: I20131126001415 |
| Provider Name | Angela J Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811144264 PECOS PAC ID: 8527280437 Enrollment ID: I20141110000768 |
| Provider Name | Alvin D Pelt |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1093890550 PECOS PAC ID: 0446154553 Enrollment ID: I20170531001127 |
| Provider Name | Rachael Westfall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992216659 PECOS PAC ID: 9739448754 Enrollment ID: I20180122000934 |
| Provider Name | Craig R Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306880851 PECOS PAC ID: 9931538030 Enrollment ID: I20200409003293 |
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