| Lakeshore Health And Wellness | |
|
5475 Liberty Ave Vermilion OH 44089-1333 | |
| (440) 963-0402 | |
| Not Available |
| Full Name | Lakeshore Health And Wellness |
|---|---|
| Speciality | Counselor |
| Location | 5475 Liberty Ave, Vermilion, Ohio |
| Authorized Official Name and Position | Michele L Weber (OWNER) |
| Authorized Official Contact | 4409675784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Health And Wellness 4143 Firestone Ln Vermilion OH 44089-3625 Ph: (440) 967-5784 | Lakeshore Health And Wellness 5475 Liberty Ave Vermilion OH 44089-1333 Ph: (440) 963-0402 |
| NPI Number | 1013400951 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 06/13/2018 |
| Medicare PECOS PAC ID | 6103167333 |
|---|---|
| Medicare Enrollment ID | O20190416001496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013400951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cheryl L Gerber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144542564 PECOS PAC ID: 2567413990 Enrollment ID: I20050203000064 |
| Provider Name | Stephanie H Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124390554 PECOS PAC ID: 0648434514 Enrollment ID: I20120606000397 |
| Provider Name | Victoria Lawrence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649592502 PECOS PAC ID: 0143471367 Enrollment ID: I20121117000032 |
| Provider Name | Anita Eddie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912110891 PECOS PAC ID: 3173762176 Enrollment ID: I20130625000032 |
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