| Square One Gjm | |
|
49 Olive St Gallipolis OH 45631-1632 | |
| (740) 441-5809 | |
| (740) 578-9242 |
| Full Name | Square One Gjm |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 49 Olive St, Gallipolis, Ohio |
| Authorized Official Name and Position | Sonya Jessie Hatem (CO OWNER) |
| Authorized Official Contact | 7404415809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Square One Gjm Po Box 272 Gallipolis OH 45631-0272 Ph: (740) 441-5809 | Square One Gjm 49 Olive St Gallipolis OH 45631-1632 Ph: (740) 441-5809 |
| NPI Number | 1548974793 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 01/12/2023 |
| Certification Date | 08/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548974793 | NPI | - | NPPES |
| 1447716352 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Hopewell Health Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 West Ave, Gallipolis, OH 45631 Phone: 740-446-5554 | |
Tasc Of Southeast Ohio Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 499 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-6471 | |
Southern Ohio Solutions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 499 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-2925 Fax: 740-441-2970 | |
Holzer Psychiatric Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5051 Fax: 740-446-5522 | |
Smith Family Healthcare, Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 254 Pinecrest Dr, Gallipolis, OH 45631 Phone: 740-578-4824 Fax: 740-578-4821 | |
Comprehensive Addiction Care Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1086 Jackson Pike Ste 206, Gallipolis, OH 45631 Phone: 740-441-9800 Fax: 740-441-9400 | |
Woodland Centers Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3086 State Route 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-441-4402 |