| Proven Pathways Psychotherapy, Llc | |
|
5151 Reed Rd Ste 127c Columbus OH 43220-2553 | |
| (330) 705-3748 | |
| Not Available |
| Full Name | Proven Pathways Psychotherapy, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5151 Reed Rd Ste 127c, Columbus, Ohio |
| Authorized Official Name and Position | Laren Conklin (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6145949360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proven Pathways Psychotherapy, Llc 5151 Reed Rd Ste 127c Columbus OH 43220-2553 Ph: (614) 594-9360 | Proven Pathways Psychotherapy, Llc 5151 Reed Rd Ste 127c Columbus OH 43220-2553 Ph: (330) 705-3748 |
| NPI Number | 1699598235 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/29/2024 |
| Certification Date | 11/29/2024 |
| Medicare PECOS PAC ID | 6709314834 |
|---|---|
| Medicare Enrollment ID | O20250116002159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699598235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Adrienne Dean Jett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811041395 PECOS PAC ID: 8123318615 Enrollment ID: I20160613001692 |
| Provider Name | Laren Renee Conklin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285001776 PECOS PAC ID: 8426586553 Enrollment ID: I20250116002435 |
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