| Hawthorne Integrative | |
|
5450 Far Hills Ave Ste 222 Kettering OH 45429-2386 | |
| (937) 545-7392 | |
| Not Available |
| Full Name | Hawthorne Integrative |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5450 Far Hills Ave Ste 222, Kettering, Ohio |
| Authorized Official Name and Position | Michelle Flaum Hall (PARTNER) |
| Authorized Official Contact | 9375457392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawthorne Integrative 5450 Far Hills Ave Ste 222 Kettering OH 45429-2386 Ph: (937) 545-7392 | Hawthorne Integrative 5450 Far Hills Ave Ste 222 Kettering OH 45429-2386 Ph: (937) 545-7392 |
| NPI Number | 1659730133 |
|---|---|
| Provider Enumeration Date | 02/12/2016 |
| Last Update Date | 02/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659730133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E7537 (Ohio) | Primary |
| 101YM0800X | Counselor - Mental Health | E2080 (Ohio) | Secondary |
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