| Holistic Behavioral Health | |
|
21 Huron Rd Chillicothe OH 45601-1260 | |
| (740) 851-7962 | |
| Not Available |
| Full Name | Holistic Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 21 Huron Rd, Chillicothe, Ohio |
| Authorized Official Name and Position | Amanda Lee (OWNER) |
| Authorized Official Contact | 7408517962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Behavioral Health 21 Huron Rd Chillicothe OH 45601-1260 Ph: (740) 851-7962 | Holistic Behavioral Health 21 Huron Rd Chillicothe OH 45601-1260 Ph: (740) 851-7962 |
| NPI Number | 1689408254 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Medicare PECOS PAC ID | 3678000130 |
|---|---|
| Medicare Enrollment ID | O20241220003710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689408254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Amanda Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861853079 PECOS PAC ID: 4587191044 Enrollment ID: I20241220003745 |
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