| Victory Counseling And Wellness, Llc. | |
|
1601 Motor Inn Dr Ste 215 Girard OH 44420-2482 | |
| (330) 519-7543 | |
| Not Available |
| Full Name | Victory Counseling And Wellness, Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 1601 Motor Inn Dr Ste 215, Girard, Ohio |
| Authorized Official Name and Position | Lori M Hamilton (SOLE MEMBER) |
| Authorized Official Contact | 3305197543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Counseling And Wellness, Llc. Po Box 2281 Youngstown OH 44504-0281 Ph: (330) 519-7543 | Victory Counseling And Wellness, Llc. 1601 Motor Inn Dr Ste 215 Girard OH 44420-2482 Ph: (330) 519-7543 |
| NPI Number | 1154987907 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 10/30/2019 |
| Medicare PECOS PAC ID | 2062846249 |
|---|---|
| Medicare Enrollment ID | O20191220001394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154987907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lori M Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548415870 PECOS PAC ID: 7911175906 Enrollment ID: I20110718000648 |
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