| My Sister's Place | |
|
142 E State St Athens OH 45701-1746 | |
| (740) 593-7125 | |
| (740) 594-7122 |
| Full Name | My Sister's Place |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 142 E State St, Athens, Ohio |
| Authorized Official Name and Position | Kelly Cooke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7405937125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Sister's Place Po Box 1158 Athens OH 45701-1158 Ph: (740) 593-7125 | My Sister's Place 142 E State St Athens OH 45701-1746 Ph: (740) 593-7125 |
| NPI Number | 1154357721 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 12/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154357721 | NPI | - | NPPES |
| 10167 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0003 (Ohio) | Primary |
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