| Faucette Child And Family Counseling, Inc. | |
|
1350 5th Ave Ste 320 Youngstown OH 44504-1765 | |
| (330) 542-6573 | |
| (202) 970-5606 |
| Full Name | Faucette Child And Family Counseling, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1350 5th Ave Ste 320, Youngstown, Ohio |
| Authorized Official Name and Position | Carolyn Faucette (PSYCHOTHERAPIST, COUNSELOR) |
| Authorized Official Contact | 3305426573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faucette Child And Family Counseling, Inc. 1350 5th Ave Ste 320 Youngstown OH 44504-1765 Ph: (330) 542-6573 | Faucette Child And Family Counseling, Inc. 1350 5th Ave Ste 320 Youngstown OH 44504-1765 Ph: (330) 542-6573 |
| NPI Number | 1629430764 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 0446540892 |
|---|---|
| Medicare Enrollment ID | O20160526001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629430764 | NPI | - | NPPES |
| 1316247232 | Other | OH | INDIVIDUAL NPI |
| 0161000 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | I0900303S (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | I0900303S (Ohio) | Primary |
| Provider Name | Carolyn Faucette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316247232 PECOS PAC ID: 5799966867 Enrollment ID: I20110222001019 |
| Provider Name | Paulette S Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821408915 PECOS PAC ID: 5496049223 Enrollment ID: I20160802002077 |
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