| Kaye Maynard Counseling Inc | |
|
7257 E Broad St Sw Unit C Pataskala OH 43062-8501 | |
| (740) 963-2976 | |
| (740) 927-0461 |
| Full Name | Kaye Maynard Counseling Inc |
|---|---|
| Speciality | Social Worker |
| Location | 7257 E Broad St Sw Unit C, Pataskala, Ohio |
| Authorized Official Name and Position | Kaye E Maynard (SOCIAL WORKER) |
| Authorized Official Contact | 7409632976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaye Maynard Counseling Inc Po Box 292 7257 E. Broad St. Sw, Unit C Pataskala OH 43062-0292 Ph: (740) 963-2976 | Kaye Maynard Counseling Inc 7257 E Broad St Sw Unit C Pataskala OH 43062-8501 Ph: (740) 963-2976 |
| NPI Number | 1770890576 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Medicare PECOS PAC ID | 6800082843 |
|---|---|
| Medicare Enrollment ID | O20101202000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770890576 | NPI | - | NPPES |
| 0066911 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I. 1000063 (Ohio) | Primary |
| Provider Name | Kaye Maynard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740594530 PECOS PAC ID: 4880881655 Enrollment ID: I20101207000008 |
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