| Progressive Counseling Center | |
|
1025 Boardman Canfield Rd Youngstown OH 44512-4227 | |
| (330) 629-2434 | |
| (330) 629-2199 |
| Full Name | Progressive Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1025 Boardman Canfield Rd, Youngstown, Ohio |
| Authorized Official Name and Position | Nicole Kendra Townsend (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3306292888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Counseling Center 1011 Boardman Canfield Rd Youngstown OH 44512-4226 Ph: (330) 629-2888 | Progressive Counseling Center 1025 Boardman Canfield Rd Youngstown OH 44512-4227 Ph: (330) 629-2434 |
| NPI Number | 1154749950 |
|---|---|
| Provider Enumeration Date | 03/31/2014 |
| Last Update Date | 02/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154749950 | NPI | - | NPPES |
| 0153615 | Medicaid | OH | |
| 36D2092456 | Other | CLIA WAIVER | |
| 13855 | Other | OH | MEDICAID OMHAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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