| Psychshift, Llc | |
|
454 Township Road 1329 Ironton OH 45638-8378 | |
| (304) 654-7557 | |
| Not Available |
| Full Name | Psychshift, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 454 Township Road 1329, Ironton, Ohio |
| Authorized Official Name and Position | Melanie Danielson (OWNER/THERAPIST) |
| Authorized Official Contact | 3046547557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychshift, Llc 454 Township Road 1329 Ironton OH 45638-8378 Ph: () - | Psychshift, Llc 454 Township Road 1329 Ironton OH 45638-8378 Ph: (304) 654-7557 |
| NPI Number | 1740020932 |
|---|---|
| Provider Enumeration Date | 05/28/2024 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Medicare PECOS PAC ID | 0648715086 |
|---|---|
| Medicare Enrollment ID | O20240710002901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740020932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Melanie Danielson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114793486 PECOS PAC ID: 6709322076 Enrollment ID: I20240724000762 |
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