| Vanhamm | |
|
5655 N High St Ste 208 Worthington OH 43085-3948 | |
| (614) 505-6977 | |
| (614) 505-3548 |
| Full Name | Vanhamm |
|---|---|
| Speciality | Counselor |
| Location | 5655 N High St Ste 208, Worthington, Ohio |
| Authorized Official Name and Position | Danute Vanbeysterveldt (OWNER) |
| Authorized Official Contact | 6143546688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanhamm 5655 N High St Ste 208 Worthington OH 43085-3948 Ph: (614) 505-6977 | Vanhamm 5655 N High St Ste 208 Worthington OH 43085-3948 Ph: (614) 505-6977 |
| NPI Number | 1205305943 |
|---|---|
| Provider Enumeration Date | 11/23/2018 |
| Last Update Date | 11/23/2018 |
| Medicare PECOS PAC ID | 7315284403 |
|---|---|
| Medicare Enrollment ID | O20190128002557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205305943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | William A Randle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821181637 PECOS PAC ID: 5597789149 Enrollment ID: I20060123000071 |
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