| Sequoia Wellness Center Llc | |
|
3000 Elida Rd Ste 2 Lima OH 45805-1232 | |
| (419) 813-8009 | |
| Not Available |
| Full Name | Sequoia Wellness Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 3000 Elida Rd Ste 2, Lima, Ohio |
| Authorized Official Name and Position | Rita Kinstle (OWNER) |
| Authorized Official Contact | 3175903862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sequoia Wellness Center Llc 3000 Elida Rd Ste 2 Lima OH 45805-1232 Ph: () - | Sequoia Wellness Center Llc 3000 Elida Rd Ste 2 Lima OH 45805-1232 Ph: (419) 813-8009 |
| NPI Number | 1962239921 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 03/18/2025 |
| Certification Date | 03/18/2025 |
| Medicare PECOS PAC ID | 3173045010 |
|---|---|
| Medicare Enrollment ID | O20250319004101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962239921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Cristina L Khuth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043785322 PECOS PAC ID: 2860863065 Enrollment ID: I20230126001486 |
| Provider Name | Rita Kinstle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437373552 PECOS PAC ID: 4789804154 Enrollment ID: I20240222002083 |
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