| The Counseling Center Of Boardman Llc | |
|
8166 Market St Ste N Boardman OH 44512-6263 | |
| (330) 726-7780 | |
| Not Available |
| Full Name | The Counseling Center Of Boardman Llc |
|---|---|
| Speciality | Counselor |
| Location | 8166 Market St Ste N, Boardman, Ohio |
| Authorized Official Name and Position | Jaymi Wendt (OWNER) |
| Authorized Official Contact | 3307267780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Counseling Center Of Boardman Llc 8166 Market St Ste N Boardman OH 44512-6263 Ph: () - | The Counseling Center Of Boardman Llc 8166 Market St Ste N Boardman OH 44512-6263 Ph: (330) 726-7780 |
| NPI Number | 1811665169 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 09/01/2021 |
| Certification Date | 09/01/2021 |
| Medicare PECOS PAC ID | 5193263291 |
|---|---|
| Medicare Enrollment ID | O20240821000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811665169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jaymi Wendt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821438730 PECOS PAC ID: 7517264088 Enrollment ID: I20160328002295 |
| Provider Name | Renee K Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982057493 PECOS PAC ID: 3971863929 Enrollment ID: I20180212002407 |
| Provider Name | Melinda M Cardelein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578904678 PECOS PAC ID: 9133651698 Enrollment ID: I20241022002721 |
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