| Midwest Counseling Centers Of Ohio | |
|
8940 Kingsridge Dr Ste 106 Dayton OH 45458-1632 | |
| (937) 813-4485 | |
| (937) 813-4576 |
| Full Name | Midwest Counseling Centers Of Ohio |
|---|---|
| Speciality | Clinic/Center |
| Location | 8940 Kingsridge Dr Ste 106, Dayton, Ohio |
| Authorized Official Name and Position | Mark K Floro (VP OF FINANCE AND OPERATIONS) |
| Authorized Official Contact | 9378134485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Counseling Centers Of Ohio 8940 Kingsridge Dr Ste 106 Dayton OH 45458-1632 Ph: (937) 813-4485 | Midwest Counseling Centers Of Ohio 8940 Kingsridge Dr Ste 106 Dayton OH 45458-1632 Ph: (937) 813-4485 |
| NPI Number | 1245838630 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/16/2020 |
| Medicare PECOS PAC ID | 1759798366 |
|---|---|
| Medicare Enrollment ID | O20210326001959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245838630 | NPI | - | NPPES |
| 4466973 | Other | OH | OHIO STATE CHARTER OR REGISTRATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kathryn M Pitchford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982750857 PECOS PAC ID: 2365356284 Enrollment ID: I20031114000672 |
| Provider Name | Nancy Fitch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669586343 PECOS PAC ID: 9436157450 Enrollment ID: I20061129000120 |
| Provider Name | Lynne M Routsong-wiechers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659453165 PECOS PAC ID: 1951626977 Enrollment ID: I20150216001735 |
| Provider Name | Gary Thomas Ratliff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063951556 PECOS PAC ID: 5395110316 Enrollment ID: I20230405000748 |
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