| Pivot Mental Health & Wellness Llc | |
|
1700 River St Ste A Fremont OH 43420-3586 | |
| (419) 658-9989 | |
| Not Available |
| Full Name | Pivot Mental Health & Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 1700 River St Ste A, Fremont, Ohio |
| Authorized Official Name and Position | Katrina Walton (OWNER) |
| Authorized Official Contact | 2166591467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivot Mental Health & Wellness Llc 1700 River St Ste A Fremont OH 43420-3586 Ph: () - | Pivot Mental Health & Wellness Llc 1700 River St Ste A Fremont OH 43420-3586 Ph: (419) 658-9989 |
| NPI Number | 1730954207 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 03/13/2025 |
| Certification Date | 03/13/2025 |
| Medicare PECOS PAC ID | 1153844733 |
|---|---|
| Medicare Enrollment ID | O20250325002502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730954207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Katrina A Walton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275137069 PECOS PAC ID: 2062935646 Enrollment ID: I20250325002591 |
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