| Maumee Valley Guidance Center Inc. | |
|
211 Biede Ave Defiance OH 43512-2408 | |
| (419) 782-8856 | |
| (419) 784-4506 |
| Full Name | Maumee Valley Guidance Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 211 Biede Ave, Defiance, Ohio |
| Authorized Official Name and Position | Connie Planson (PRESIDENT/CEO) |
| Authorized Official Contact | 4197828856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maumee Valley Guidance Center Inc. 211 Biede Ave Defiance OH 43512-2408 Ph: (419) 782-8856 | Maumee Valley Guidance Center Inc. 211 Biede Ave Defiance OH 43512-2408 Ph: (419) 782-8856 |
| NPI Number | 1033189642 |
|---|---|
| Provider Enumeration Date | 01/25/2006 |
| Last Update Date | 10/29/2014 |
| Medicare PECOS PAC ID | 0547293003 |
|---|---|
| Medicare Enrollment ID | O20050914001344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033189642 | NPI | - | NPPES |
| 0939463 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Anne M Mallett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083809271 PECOS PAC ID: 8022149897 Enrollment ID: I20100623000850 |
| Provider Name | Katelyn K Boldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790167419 PECOS PAC ID: 2567757982 Enrollment ID: I20160824002731 |
| Provider Name | Tonya Edmondson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588808364 PECOS PAC ID: 1254626260 Enrollment ID: I20160829002835 |
| Provider Name | Jennifer D Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386186583 PECOS PAC ID: 4789967183 Enrollment ID: I20170209000870 |
| Provider Name | Nicole R Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043753403 PECOS PAC ID: 5890079206 Enrollment ID: I20170303000351 |
| Provider Name | Katherine Shaffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639525611 PECOS PAC ID: 8426308560 Enrollment ID: I20180911001113 |
| Provider Name | Craig W Parliment |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497117345 PECOS PAC ID: 3173955028 Enrollment ID: I20191113003433 |
| Provider Name | Caleb J Shanks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831698596 PECOS PAC ID: 2860886363 Enrollment ID: I20220228000284 |
| Provider Name | Kymberly Whitenburg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003459751 PECOS PAC ID: 5092151316 Enrollment ID: I20240308003141 |
Turning Point Psychotherapy And Assessment, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Turning Point Psychotherapy And Assessment, Llc, 1125 Ralston Ave., Defiance, OH 43512 Phone: 419-782-2800 Fax: 419-782-2805 | |
Defiance Regional Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Ralston Ave, Defiance, OH 43512 Phone: 419-783-6955 | |
Defiance Regional Psychiatric Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Ralston Ave, Suite 105, Defiance, OH 43512 Phone: 419-783-6805 Fax: 419-783-6804 | |
Defiance Regional Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Ralston Ave, Defiance, OH 43512 Phone: 419-291-0349 Fax: 419-534-2828 | |
Maumee Valley Guidance Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 | |
Cabatan & Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Clinton St, Defiance, OH 43512 Phone: 419-782-9991 Fax: 419-782-9994 |