| Mid-ohio Counseling, Llc | |
|
905a River Road Granville OH 43023 | |
| (740) 507-6707 | |
| (740) 739-4272 |
| Full Name | Mid-ohio Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 905a River Road, Granville, Ohio |
| Authorized Official Name and Position | Karen S. Cowie (THERAPIST) |
| Authorized Official Contact | 7405076707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-ohio Counseling, Llc Po Box 68 Granville OH 43023-0068 Ph: (740) 507-6707 | Mid-ohio Counseling, Llc 905a River Road Granville OH 43023 Ph: (740) 507-6707 |
| NPI Number | 1700022639 |
|---|---|
| Provider Enumeration Date | 12/24/2008 |
| Last Update Date | 12/24/2008 |
| Medicare PECOS PAC ID | 9638235492 |
|---|---|
| Medicare Enrollment ID | O20090303000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700022639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I.0500036-SUPV (Ohio) | Primary |
| Provider Name | Karen S Cowie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154363968 PECOS PAC ID: 2062415607 Enrollment ID: I20060821000208 |
| Provider Name | Timothy S Durham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134644016 PECOS PAC ID: 7719384775 Enrollment ID: I20210920000440 |
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