| Miami Valley Counseling & Hypnosis Center | |
|
1255 N Fairfield Rd Beavercreek OH 45432-2668 | |
| (937) 426-5225 | |
| (937) 426-7526 |
| Full Name | Miami Valley Counseling & Hypnosis Center |
|---|---|
| Speciality | Counselor |
| Location | 1255 N Fairfield Rd, Beavercreek, Ohio |
| Authorized Official Name and Position | Sharon A Desorcy-marcotte (PRESIDENT) |
| Authorized Official Contact | 9374265225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Valley Counseling & Hypnosis Center 1255 N Fairfield Rd Beavercreek OH 45432-2668 Ph: (937) 426-5225 | Miami Valley Counseling & Hypnosis Center 1255 N Fairfield Rd Beavercreek OH 45432-2668 Ph: (937) 426-5225 |
| NPI Number | 1437132974 |
|---|---|
| Provider Enumeration Date | 11/29/2005 |
| Last Update Date | 12/23/2024 |
| Certification Date | 12/23/2024 |
| Medicare PECOS PAC ID | 4587190434 |
|---|---|
| Medicare Enrollment ID | O20241216001448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437132974 | NPI | - | NPPES |
| 000000010860 | Other | OH | ANTHEM BCBS PIN |
| 281384690-001 | Other | OH | MEDICAL MUTUAL PIN |
| 248755000 | Other | OH | MAGELLAN PIN |
| 281384690 | Other | OH | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E-0000123 (Ohio) | Primary |
| Provider Name | Sharon A Desorcy-marcotte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215051768 PECOS PAC ID: 5395874424 Enrollment ID: I20241226002330 |
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