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 |
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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 |
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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 |
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Provider Enumeration Date | 02/01/2022 |
Last Update Date | 03/24/2022 |
Certification Date | 03/24/2022 |
Medicare PECOS PAC ID | 9931581758 |
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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 |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285173005 PECOS PAC ID: 9436570900 Enrollment ID: I20200609002278 |
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