| Midwest Mental Health Llc | |
|
4086 Broadway Grove City OH 43123-3025 | |
| (740) 804-1526 | |
| Not Available |
| Full Name | Midwest Mental Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4086 Broadway, Grove City, Ohio |
| Authorized Official Name and Position | Michelle Johnson (MEMBER) |
| Authorized Official Contact | 7408041526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Mental Health Llc 4086 Broadway Grove City OH 43123-3025 Ph: () - | Midwest Mental Health Llc 4086 Broadway Grove City OH 43123-3025 Ph: (740) 804-1526 |
| NPI Number | 1053944090 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053944090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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