| House Of Transformation Therapy Services | |
|
524 Cora Pl Hartville OH 44632-8902 | |
| (330) 631-1319 | |
| Not Available |
| Full Name | House Of Transformation Therapy Services |
|---|---|
| Speciality | Counselor |
| Location | 524 Cora Pl, Hartville, Ohio |
| Authorized Official Name and Position | Patricia K Sullivan (OWNER) |
| Authorized Official Contact | 3306311319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| House Of Transformation Therapy Services 524 Cora Pl Hartville OH 44632-8902 Ph: (330) 631-1319 | House Of Transformation Therapy Services 524 Cora Pl Hartville OH 44632-8902 Ph: (330) 631-1319 |
| NPI Number | 1679334189 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 02/10/2024 |
| Certification Date | 02/10/2024 |
| Medicare PECOS PAC ID | 6901247915 |
|---|---|
| Medicare Enrollment ID | O20240508001888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679334189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patricia Kaye Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033653647 PECOS PAC ID: 8628419637 Enrollment ID: I20240510002821 |
Quest Recovery And Prevention Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7291 Swamp St Ne, Hartville, OH 44632 Phone: 330-453-8252 Fax: 330-453-6716 | |
Kessler Psychological Services, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 S Prospect Ave, Hartville, OH 44632 Phone: 330-877-2093 Fax: 330-877-2104 | |
Baden Counseling Services, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Grand Trunk Ave Sw, Unit G, Hartville, OH 44632 Phone: 330-418-1777 Fax: 330-966-1550 |