| Hackett Counseling & Consulting Llc | |
|
10901 Reed Hartman Hwy Suite 108 Blue Ash OH 45242-2831 | |
| (513) 403-0648 | |
| Not Available |
| Full Name | Hackett Counseling & Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10901 Reed Hartman Hwy, Blue Ash, Ohio |
| Authorized Official Name and Position | Debra Hackett (OWNER) |
| Authorized Official Contact | 5134030648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hackett Counseling & Consulting Llc 3805 Edwards Rd Cincinnati OH 45209-1900 Ph: (513) 403-0648 | Hackett Counseling & Consulting Llc 10901 Reed Hartman Hwy Suite 108 Blue Ash OH 45242-2831 Ph: (513) 403-0648 |
| NPI Number | 1184036782 |
|---|---|
| Provider Enumeration Date | 05/30/2014 |
| Last Update Date | 05/30/2014 |
| Medicare PECOS PAC ID | 5597983668 |
|---|---|
| Medicare Enrollment ID | O20140903000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184036782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 923349 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I7205 (Ohio) | Primary |
| Provider Name | Debra J Hackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306189097 PECOS PAC ID: 5799679205 Enrollment ID: I20040213000196 |
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