| Alcohol And Drug Freedom Center Of Knox County | |
|
106 E Gambier St Mount Vernon OH 43050-3510 | |
| (740) 397-2660 | |
| (740) 392-3613 |
| Full Name | Alcohol And Drug Freedom Center Of Knox County |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 106 E Gambier St, Mount Vernon, Ohio |
| Authorized Official Name and Position | Afet Kilinc (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7403972660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alcohol And Drug Freedom Center Of Knox County 106 E Gambier St Mount Vernon OH 43050-3510 Ph: (740) 397-2660 | Alcohol And Drug Freedom Center Of Knox County 106 E Gambier St Mount Vernon OH 43050-3510 Ph: (740) 397-2660 |
| NPI Number | 1275509143 |
|---|---|
| Provider Enumeration Date | 02/28/2006 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Medicare PECOS PAC ID | 7911008511 |
|---|---|
| Medicare Enrollment ID | O20160719002145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275509143 | NPI | - | NPPES |
| 35842 | Other | OH | MBC (MERIT/BIODYNE) |
| 3908853 | Other | OH | FDA ID# |
| 45660 | Other | OH | ODADAS AGENCY NUMBER |
| 62-15262 | Other | OH | PHP/UBS NUMBER |
| 729264 | Other | OH | BWC |
| 1311 | Medicaid | OH | |
| 62-15262 | Other | OH | UHC OR UBH NUMBER |
| LICKBO131199 | Other | OH | PSEUDO UCI |
| OH750732-00 | Other | OH | NFR ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1311 (Ohio) | Secondary |
| 251S00000X | Community/behavioral Health | 01-7560 (Ohio) | Primary |
| Provider Name | Rebecca Armstr Stilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174522627 PECOS PAC ID: 9537192802 Enrollment ID: I20050916000270 |
| Provider Name | Chandravadan P Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598883068 PECOS PAC ID: 1153337274 Enrollment ID: I20060228000128 |
| Provider Name | Jeffrey P Koenig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750636254 PECOS PAC ID: 8022269893 Enrollment ID: I20121105000352 |
| Provider Name | Rachelle L Byrnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316494396 PECOS PAC ID: 0345688172 Enrollment ID: I20240329000869 |
| Provider Name | Afet Kilinc |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770708778 PECOS PAC ID: 2860830270 Enrollment ID: I20240404001490 |
Quest Recovery Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Harcourt Rd Ste 2, Mount Vernon, OH 43050 Phone: 740-326-6069 | |
Four Points Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N Gay St, Mount Vernon, OH 43050 Phone: 740-504-6846 | |
Knox Recovery Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 W Gambier St, Mount Vernon, OH 43050 Phone: 740-326-9099 | |
Riverside Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W High St Ste B, Mount Vernon, OH 43050 Phone: 740-326-9255 | |
Moundbuilders Guidance Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8402 Blackjack Road Ext, Mount Vernon, OH 43050 Phone: 740-397-0442 Fax: 740-392-1814 | |
Sojourners Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 A South Mulberry St, Mount Vernon, OH 43050 Phone: 740-393-6001 Fax: 740-393-6040 |