| Lakeshore Educational And Counseling Services | |
|
5475 Liberty Ave Vermilion OH 44089-1333 | |
| (440) 963-0402 | |
| Not Available |
| Full Name | Lakeshore Educational And Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5475 Liberty Ave, Vermilion, Ohio |
| Authorized Official Name and Position | Angela F Dover (CHILD AND FAMILY THERAPIST) |
| Authorized Official Contact | 5132535137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Educational And Counseling Services 3212 Bach Ave Apt 4 Cincinnati OH 45209-1756 Ph: (513) 253-5137 | Lakeshore Educational And Counseling Services 5475 Liberty Ave Vermilion OH 44089-1333 Ph: (440) 963-0402 |
| NPI Number | 1346402369 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346402369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | E.0008336-SUPV (Ohio) | Primary |
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