| Preferred Care Counseling Llc | |
|
3292 Stones Throw Ave Poland OH 44514-4213 | |
| (330) 757-3975 | |
| (330) 757-3976 |
| Full Name | Preferred Care Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3292 Stones Throw Ave, Poland, Ohio |
| Authorized Official Name and Position | Joseph Andrew Humphries (CLINIC DIRECTOR) |
| Authorized Official Contact | 3307573975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Care Counseling Llc 3292 Stones Throw Ave Poland OH 44514-4213 Ph: (330) 757-3975 | Preferred Care Counseling Llc 3292 Stones Throw Ave Poland OH 44514-4213 Ph: (330) 757-3975 |
| NPI Number | 1457664567 |
|---|---|
| Provider Enumeration Date | 07/17/2010 |
| Last Update Date | 12/05/2017 |
| Medicare PECOS PAC ID | 7315261021 |
|---|---|
| Medicare Enrollment ID | O20150128000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457664567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | E2713 (Ohio) | Primary |
| Provider Name | Elida Marie Schiavone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093830234 PECOS PAC ID: 8426028689 Enrollment ID: I20040727000807 |
| Provider Name | Loren Damore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811974744 PECOS PAC ID: 7315105392 Enrollment ID: I20120222000305 |
| Provider Name | Linda R Riethmiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265621007 PECOS PAC ID: 5092938860 Enrollment ID: I20140523000370 |
| Provider Name | Diane E Palumbo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730409657 PECOS PAC ID: 3375764228 Enrollment ID: I20141020000289 |
| Provider Name | Kimberly C Wess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619362712 PECOS PAC ID: 8224344999 Enrollment ID: I20150826002440 |
| Provider Name | Martina Axelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366979726 PECOS PAC ID: 7719256726 Enrollment ID: I20170707000732 |
| Provider Name | Andrew R Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285105080 PECOS PAC ID: 7719228584 Enrollment ID: I20190403002114 |
| Provider Name | Rebecca Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174013718 PECOS PAC ID: 5799199725 Enrollment ID: I20210202001832 |
| Provider Name | Julie Fitzgerald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043424211 PECOS PAC ID: 2860841608 Enrollment ID: I20231206000251 |
| Provider Name | Steven Wetherill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912789785 PECOS PAC ID: 6507215753 Enrollment ID: I20231213000855 |
| Provider Name | Joseph Humphries |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013994912 PECOS PAC ID: 2769706472 Enrollment ID: I20240106000543 |
| Provider Name | Marie Bosio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770844540 PECOS PAC ID: 5597116228 Enrollment ID: I20240108000892 |
| Provider Name | Morghan Honthy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427575455 PECOS PAC ID: 2860843232 Enrollment ID: I20240110001851 |
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