| Generations Counseling & Psychotherapy, Llc. | |
|
5900 N High St Ste 130 Worthington OH 43085-3956 | |
| (614) 450-0894 | |
| (614) 645-5065 |
| Full Name | Generations Counseling & Psychotherapy, Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 5900 N High St Ste 130, Worthington, Ohio |
| Authorized Official Name and Position | Lisa Hartman (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6144500894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Counseling & Psychotherapy, Llc. 5900 N High St Ste 130 Worthington OH 43085-3956 Ph: (614) 450-0894 | Generations Counseling & Psychotherapy, Llc. 5900 N High St Ste 130 Worthington OH 43085-3956 Ph: (614) 450-0894 |
| NPI Number | 1770002594 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 11/09/2021 |
| Certification Date | 01/04/2021 |
| Medicare PECOS PAC ID | 0840565867 |
|---|---|
| Medicare Enrollment ID | O20171002000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770002594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1500103 (Ohio) | Primary |
| Provider Name | Lisa Ann Hartman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295004521 PECOS PAC ID: 4486929403 Enrollment ID: I20171002000759 |
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