Reviving Solutions & Consulting Llc | |
6545 Market Ave N Ste 100 Canton OH 44721-2430 | |
(937) 502-5037 | |
Not Available |
Full Name | Reviving Solutions & Consulting Llc |
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Speciality | Clinic/Center |
Location | 6545 Market Ave N Ste 100, Canton, Ohio |
Authorized Official Name and Position | Cierra Jackson (CEO) |
Authorized Official Contact | 9375025037 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Reviving Solutions & Consulting Llc 11711 Princeton Pike Ste 341-143 Cincinnati OH 45246-2534 Ph: (937) 502-5037 | Reviving Solutions & Consulting Llc 6545 Market Ave N Ste 100 Canton OH 44721-2430 Ph: (937) 502-5037 |
NPI Number | 1407693559 |
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Provider Enumeration Date | 07/15/2024 |
Last Update Date | 08/07/2024 |
Certification Date | 08/07/2024 |
Medicare PECOS PAC ID | 2769909514 |
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Medicare Enrollment ID | O20250506001720 |
Identifier | Type | State | Issuer |
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1407693559 | NPI | - | NPPES |
Provider Name | Cierra Jackson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1255706339 PECOS PAC ID: 3678090420 Enrollment ID: I20250506002288 |
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