| Natura Behavioral Health Llc | |
|
3768 Boardman Canfield Rd Ste 5 Canfield OH 44406-8502 | |
| (330) 798-0491 | |
| (330) 303-4948 |
| Full Name | Natura Behavioral Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3768 Boardman Canfield Rd Ste 5, Canfield, Ohio |
| Authorized Official Name and Position | Jacob C Hamm (FOUNDER/CEO) |
| Authorized Official Contact | 3307980491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Natura Behavioral Health Llc 3768 Boardman Canfield Rd Ste 5 Canfield OH 44406-8502 Ph: (330) 798-0491 | Natura Behavioral Health Llc 3768 Boardman Canfield Rd Ste 5 Canfield OH 44406-8502 Ph: (330) 798-0491 |
| NPI Number | 1699450635 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 7810350105 |
|---|---|
| Medicare Enrollment ID | O20230905001766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699450635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kassandra Sue Kornbau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447596564 PECOS PAC ID: 5092955492 Enrollment ID: I20130708000756 |
| Provider Name | Loren J Louk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093131468 PECOS PAC ID: 9739498908 Enrollment ID: I20151029001136 |
| Provider Name | Megan A Demos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316589336 PECOS PAC ID: 7113352550 Enrollment ID: I20200114000393 |
| Provider Name | Daniel Sciortino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588369821 PECOS PAC ID: 5092178384 Enrollment ID: I20230905001794 |
| Provider Name | Diana Wolf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114179199 PECOS PAC ID: 1355792425 Enrollment ID: I20240112003224 |
| Provider Name | Shannon Marie Milliken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902583438 PECOS PAC ID: 8426400318 Enrollment ID: I20240116003447 |
| Provider Name | Katie L Jacoby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568985505 PECOS PAC ID: 3072965995 Enrollment ID: I20240116004560 |
| Provider Name | Anita M Pirone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245364363 PECOS PAC ID: 4486006293 Enrollment ID: I20240117002887 |
| Provider Name | Jennifer M Culp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912443771 PECOS PAC ID: 1052763398 Enrollment ID: I20240123000351 |
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