| Inherent Basic Goodness Counseling, Llc | |
|
24600 Center Ridge Road Suite 130 Westlake OH 44145 | |
| () - | |
| Not Available |
| Full Name | Inherent Basic Goodness Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 24600 Center Ridge Road Suite 130, Westlake, Ohio |
| Authorized Official Name and Position | Sam Kuntz (OWNER) |
| Authorized Official Contact | 4404081161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inherent Basic Goodness Counseling, Llc 24600 Center Ridge Road Suite 130 Westlake OH 44145 Ph: () - | Inherent Basic Goodness Counseling, Llc 24600 Center Ridge Road Suite 130 Westlake OH 44145 Ph: () - |
| NPI Number | 1720628902 |
|---|---|
| Provider Enumeration Date | 01/15/2020 |
| Last Update Date | 01/15/2020 |
| Certification Date | 01/15/2020 |
| Medicare PECOS PAC ID | 7113353236 |
|---|---|
| Medicare Enrollment ID | O20200210002092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720628902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Samuel J Kuntz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528465598 PECOS PAC ID: 8022444140 Enrollment ID: I20200305001893 |
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