| Prime Counseling Services Llc | |
|
11494 Millwood Drive Pickerington OH 43147 | |
| (347) 818-5534 | |
| Not Available |
| Full Name | Prime Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 11494 Millwood Drive, Pickerington, Ohio |
| Authorized Official Name and Position | Tina Amoako (OWNER) |
| Authorized Official Contact | 3478185534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Counseling Services Llc 2722 Erie Ave Ste 219 Pmb 274884 Cincinnati OH 45208-2154 Ph: () - | Prime Counseling Services Llc 11494 Millwood Drive Pickerington OH 43147 Ph: (347) 818-5534 |
| NPI Number | 1083455489 |
|---|---|
| Provider Enumeration Date | 06/01/2024 |
| Last Update Date | 02/24/2025 |
| Certification Date | 02/19/2025 |
| Medicare PECOS PAC ID | 6406377092 |
|---|---|
| Medicare Enrollment ID | O20250312000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083455489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tina Amoako |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699329862 PECOS PAC ID: 7214458801 Enrollment ID: I20250312000847 |
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