| Emerging Hope Behavioral Services, Llc | |
| 
					5845 Robertdale Rd Oakwood Village OH 44146-2549  | |
| (216) 224-7989 | |
| (440) 439-4548 | 
| Full Name | Emerging Hope Behavioral Services, Llc | 
|---|---|
| Speciality | Community/Behavioral Health | 
| Location | 5845 Robertdale Rd, Oakwood Village, Ohio | 
| Authorized Official Name and Position | Mattie Diann Towns-scott (PSYCHOTHERAPIST) | 
| Authorized Official Contact | 2162247080 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Emerging Hope Behavioral Services, Llc 5845 Robertdale Rd Oakwood Village OH 44146-2549 Ph: (216) 224-7989  | Emerging Hope Behavioral Services, Llc 5845 Robertdale Rd Oakwood Village OH 44146-2549 Ph: (216) 224-7989  | 
| NPI Number | 1033862875 | 
|---|---|
| Provider Enumeration Date | 02/01/2022 | 
| Last Update Date | 03/24/2022 | 
| Certification Date | 03/24/2022 | 
| Medicare PECOS PAC ID | 9931581758 | 
|---|---|
| Medicare Enrollment ID | O20220726003401 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033862875 | NPI | - | NPPES | 
| 1065293 | Other | BEACON HEALTH OPTIONS | |
| 14656494 | Other | CAQH | |
| MDTS25493014 | Other | OH | OPTUM | 
| 5787580 | Other | EVERNORTH CARE SOLUTIONS, INC. | |
| 0402056 | Medicaid | OH | |
| 601461575 | Other | OH | MAGELLAN | 
| 1341660 | Other | OH | CARESOURCE | 
| 5787580 | Other | EVERNORTH CARE SOLUTIONS, INC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
| Provider Name | Mattie D Towns-scott | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1285173005 PECOS PAC ID: 9436570900 Enrollment ID: I20200609002278  | 
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