| Marion Area Counseling Center, Inc. | |
|
320 Executive Dr Marion OH 43302-6310 | |
| (740) 387-5210 | |
| (740) 382-3713 |
| Full Name | Marion Area Counseling Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 320 Executive Dr, Marion, Ohio |
| Authorized Official Name and Position | Brett Alan Mutchler (ASSOC. DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7403875210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Area Counseling Center, Inc. 320 Executive Dr Marion OH 43302-6310 Ph: (740) 387-5210 | Marion Area Counseling Center, Inc. 320 Executive Dr Marion OH 43302-6310 Ph: (740) 387-5210 |
| NPI Number | 1194051532 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 05/17/2013 |
| Medicare PECOS PAC ID | 8729011051 |
|---|---|
| Medicare Enrollment ID | O20050915001247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194051532 | NPI | - | NPPES |
| 2111020 | Other | OH | RISPERDAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Joseph T Spare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548238298 PECOS PAC ID: 7113967654 Enrollment ID: I20050504000754 |
| Provider Name | Irene W Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831118462 PECOS PAC ID: 4385749662 Enrollment ID: I20070416000085 |
| Provider Name | Carol Krieger |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184818742 PECOS PAC ID: 2567540412 Enrollment ID: I20080417000715 |
| Provider Name | Mary C Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841549391 PECOS PAC ID: 8325297260 Enrollment ID: I20121009000373 |
| Provider Name | Teresa L Swango |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073939203 PECOS PAC ID: 5496978900 Enrollment ID: I20140529002461 |
| Provider Name | Kristin Aguado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659777308 PECOS PAC ID: 2365768462 Enrollment ID: I20150309001546 |
| Provider Name | Michelle Lee Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710365903 PECOS PAC ID: 8527379668 Enrollment ID: I20150616002807 |
| Provider Name | Tiesha Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104082346 PECOS PAC ID: 4385770478 Enrollment ID: I20200519002404 |
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