| Recovery Services Of Greater Dayton Llp | |
|
3430 S Dixie Dr Ste 308 Moraine OH 45439-2316 | |
| (937) 388-3009 | |
| Not Available |
| Full Name | Recovery Services Of Greater Dayton Llp |
|---|---|
| Speciality | Counselor |
| Location | 3430 S Dixie Dr Ste 308, Moraine, Ohio |
| Authorized Official Name and Position | Taylor Roustio (PARTNER) |
| Authorized Official Contact | 9373883009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Services Of Greater Dayton Llp 2 Huntington Pl Kettering OH 45420-2923 Ph: (937) 271-3153 | Recovery Services Of Greater Dayton Llp 3430 S Dixie Dr Ste 308 Moraine OH 45439-2316 Ph: (937) 388-3009 |
| NPI Number | 1316643604 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 2769911726 |
|---|---|
| Medicare Enrollment ID | O20250121003200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316643604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Shala Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821562638 PECOS PAC ID: 9638607088 Enrollment ID: I20250113001866 |
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