| Family Alliance Counseling Llc | |
|
216 Moore Rd 4w Avon Lake OH 44012-1207 | |
| (440) 787-5355 | |
| Not Available |
| Full Name | Family Alliance Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 216 Moore Rd, Avon Lake, Ohio |
| Authorized Official Name and Position | Ginny Harvey (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4407875355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Alliance Counseling Llc 216 Moore Rd 4w Avon Lake OH 44012-1207 Ph: (440) 787-5355 | Family Alliance Counseling Llc 216 Moore Rd 4w Avon Lake OH 44012-1207 Ph: (440) 787-5355 |
| NPI Number | 1588080816 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 02/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588080816 | NPI | - | NPPES |
| 08258 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1101050 (Ohio) | Primary |
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