| Heritage Christian Counseling Of Shelby | |
|
153 Mansfield Ave Ste B Shelby OH 44875-1832 | |
| (567) 844-0036 | |
| Not Available |
| Full Name | Heritage Christian Counseling Of Shelby |
|---|---|
| Speciality | Social Worker |
| Location | 153 Mansfield Ave Ste B, Shelby, Ohio |
| Authorized Official Name and Position | Jeaneen Perry (OWNER) |
| Authorized Official Contact | 5678440036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Christian Counseling Of Shelby 153 Mansfield Ave Ste B Shelby OH 44875-1832 Ph: () - | Heritage Christian Counseling Of Shelby 153 Mansfield Ave Ste B Shelby OH 44875-1832 Ph: (567) 844-0036 |
| NPI Number | 1114700622 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 6406293687 |
|---|---|
| Medicare Enrollment ID | O20240322004197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114700622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Linda V Emerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902170772 PECOS PAC ID: 8527215136 Enrollment ID: I20131223001366 |
| Provider Name | Marirae Frankenfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649721325 PECOS PAC ID: 9638592439 Enrollment ID: I20200713002533 |
| Provider Name | James Buford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427248723 PECOS PAC ID: 0749623866 Enrollment ID: I20240206001997 |
| Provider Name | Jeaneen Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326398736 PECOS PAC ID: 9032556212 Enrollment ID: I20240221001995 |
| Provider Name | Leonard Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619592375 PECOS PAC ID: 0749624393 Enrollment ID: I20240222000562 |
| Provider Name | Gregory Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790829034 PECOS PAC ID: 0345773008 Enrollment ID: I20241101003110 |
Cornell Abraxas Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2775 State Route 39, Shelby, OH 44875 Phone: 419-747-3322 Fax: 381-657-9702 | |
Advantage Family Outreach & Foster Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 W Main St, Shelby, OH 44875 Phone: 419-526-5437 | |
Advantage Family Outreach & Foster Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 W Main St, Shelby, OH 44875 Phone: 419-526-5437 |