| Pastoral Counseling Service Of Summit County | |
|
611 W Market St Akron OH 44303-1406 | |
| (330) 996-4600 | |
| (330) 564-9296 |
| Full Name | Pastoral Counseling Service Of Summit County |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 611 W Market St, Akron, Ohio |
| Authorized Official Name and Position | Lesli Eisenhart (MANAGER OF ACCOUNT REC) |
| Authorized Official Contact | 3309964600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pastoral Counseling Service Of Summit County 611 W Market St Akron OH 44303-1406 Ph: (330) 996-4600 | Pastoral Counseling Service Of Summit County 611 W Market St Akron OH 44303-1406 Ph: (330) 996-4600 |
| NPI Number | 1790819852 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 02/21/2020 |
| Certification Date | 02/21/2020 |
| Medicare PECOS PAC ID | 9638326804 |
|---|---|
| Medicare Enrollment ID | O20120822000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790819852 | NPI | - | NPPES |
| 44-19 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Heishman-donahue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578519294 PECOS PAC ID: 5092932392 Enrollment ID: I20140811000981 |
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