| Shawnee Mental Health Center, Inc. | |
|
715 Lane St Coal Grove OH 45638-3161 | |
| (740) 533-6280 | |
| (740) 353-1662 |
| Full Name | Shawnee Mental Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 715 Lane St, Coal Grove, Ohio |
| Authorized Official Name and Position | Cynthia Holstein (CEO) |
| Authorized Official Contact | 7403547702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee Mental Health Center, Inc. 715 Lane St Coal Grove OH 45638-3161 Ph: (740) 533-6280 | Shawnee Mental Health Center, Inc. 715 Lane St Coal Grove OH 45638-3161 Ph: (740) 533-6280 |
| NPI Number | 1932398062 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932398062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Valley Health Systems Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 205 Marion Pike, Coal Grove, OH 45638 Phone: 740-532-1188 Fax: 740-532-1183 | |
United Family Recovery, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Marion Pike Ste 1, Coal Grove, OH 45638 Phone: 740-237-4981 Fax: 877-325-2816 |