|
| |
|
517 Gypsy Ln Youngstown OH 44504-1314 | |
| (330) 746-7929 | |
| (330) 746-7939 |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 517 Gypsy Ln, Youngstown, Ohio |
| Authorized Official Name and Position | Alvin Weisberg (DIRECTOR) |
| Authorized Official Contact | 3307467929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
517 Gypsy Ln Youngstown OH 44504-1314 Ph: (330) 746-7929 | 517 Gypsy Ln Youngstown OH 44504-1314 Ph: (330) 746-7929 |
| NPI Number | 1841340056 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 9931007713 |
|---|---|
| Medicare Enrollment ID | O20031230000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841340056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kenneth Bielecki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528184496 PECOS PAC ID: 0648450189 Enrollment ID: I20110215000961 |
| Provider Name | Vivian A Fantauzzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326196197 PECOS PAC ID: 6204093230 Enrollment ID: I20120202000824 |
New Vision Behavioral Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 E Midlothian Blvd, Youngstown, OH 44507 Phone: 330-234-5251 Fax: 330-234-5251 | |
Churchill Counseling Services, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4531 Belmont Avenue, Youngstown, OH 44505 Phone: 330-759-3040 Fax: 330-759-3070 | |
L&v Counseling And Case Management Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 Goleta Ave, Youngstown, OH 44505 Phone: 330-219-1436 Fax: 330-743-9416 | |
Renewing Hope Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 144 Robin Hood Dr, Youngstown, OH 44511 Phone: 330-502-0712 | |
Turning Point Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Belmont Ave, Youngstown, OH 44502 Phone: 330-744-2991 Fax: 330-744-2893 | |
John R Becker Jr Md Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 550 Parmalee Ave, Suite 200, Youngstown, OH 44510 Phone: 330-746-4001 Fax: 330-480-6319 | |
Guiding Light Counseling & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1157 Miami St, Youngstown, OH 44505 Phone: 330-574-8498 |