| Urban Mental Health Counseling Services Pllc | |
|
779 Fairmount Ave Jamestown NY 14701-2608 | |
| (716) 205-0325 | |
| Not Available |
| Full Name | Urban Mental Health Counseling Services Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 779 Fairmount Ave, Jamestown, New York |
| Authorized Official Name and Position | Osaze Batholomew Ibhawa (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7163229088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Mental Health Counseling Services Pllc 779 Fairmount Ave Jamestown NY 14701-2608 Ph: (716) 205-0325 | Urban Mental Health Counseling Services Pllc 779 Fairmount Ave Jamestown NY 14701-2608 Ph: (716) 205-0325 |
| NPI Number | 1003641606 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Medicare PECOS PAC ID | 6608306113 |
|---|---|
| Medicare Enrollment ID | O20250213001782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003641606 | NPI | - | NPPES |
| Provider Name | Martin O Oviasogie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639695091 PECOS PAC ID: 8224378427 Enrollment ID: I20190326002249 |
| Provider Name | Laiken Latimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396402277 PECOS PAC ID: 5496149809 Enrollment ID: I20220301001855 |
| Provider Name | Tammy L Bissonnette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255195145 PECOS PAC ID: 2769918911 Enrollment ID: I20241211001026 |
| Provider Name | Osaze Batholomew Ibhawa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710712120 PECOS PAC ID: 7416487921 Enrollment ID: I20250217002183 |
Upmc Chautauqua At Wca Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 207 Foote Ave., Inpatient Mental Health Unit, Jamestown, NY 14701 Phone: 716-664-8640 Fax: 716-664-8607 | |
Sali Honess-ondrey Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Canterbury Rd, Jamestown, NY 14701 Phone: 716-487-1198 | |
Satish K Mongia Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Prather Ave, Jamestown, NY 14701 Phone: 716-487-1161 Fax: 716-487-1163 | |
Quantum Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Hotel Jamestown Bldg, 110 West Third Street, Suite 404, Jamestown, NY 14701 Phone: 716-640-2378 Fax: 716-720-5880 | |
Upmc Chautauqua At Wca Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 | |
Upmc Chautauqua At Wca Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 |