Heritage Christian Counseling Ministries, Inc. | |
1066 Lexington Avenue Mansfield OH 44907 | |
(419) 526-5523 | |
(419) 526-5525 |
Full Name | Heritage Christian Counseling Ministries, Inc. |
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Speciality | Counselor |
Location | 1066 Lexington Avenue, Mansfield, Ohio |
Authorized Official Name and Position | Thomas A Russell (PRESIDENT) |
Authorized Official Contact | 4195265523 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heritage Christian Counseling Ministries, Inc. 1066 Lexington Avenue Mansfield OH 44907 Ph: (419) 526-5523 | Heritage Christian Counseling Ministries, Inc. 1066 Lexington Avenue Mansfield OH 44907 Ph: (419) 526-5523 |
NPI Number | 1730247800 |
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Provider Enumeration Date | 12/04/2006 |
Last Update Date | 12/30/2014 |
Medicare PECOS PAC ID | 5294059762 |
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Medicare Enrollment ID | O20150112001209 |
Identifier | Type | State | Issuer |
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1730247800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | E3714 (Ohio) | Primary |
Provider Name | Linda V Emerson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902170772 PECOS PAC ID: 8527215136 Enrollment ID: I20131223001366 |
Provider Name | Marirae C Frankenfield |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649721325 PECOS PAC ID: 9638592439 Enrollment ID: I20200713002533 |
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