| Southeastern Ohio Counseling Center, Llc. | |
|
239a Old National Road Old Washington OH 43768 | |
| (740) 489-5571 | |
| (740) 489-5004 |
| Full Name | Southeastern Ohio Counseling Center, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 239a Old National Road, Old Washington, Ohio |
| Authorized Official Name and Position | Carla Ann Taylor (OFFICE MANAGER) |
| Authorized Official Contact | 7404895571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Ohio Counseling Center, Llc. Po Box 94 Old Washington OH 43768-0094 Ph: (740) 489-5571 | Southeastern Ohio Counseling Center, Llc. 239a Old National Road Old Washington OH 43768 Ph: (740) 489-5571 |
| NPI Number | 1306459821 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 08/25/2020 |
| Certification Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306459821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Southeastern Ohio Counseling Center, Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 239a Old National Rd, Old Washington, OH 43768 Phone: 740-489-5571 Fax: 740-489-5004 |