DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PORTAGE PATH COMMUNITY MENTAL HEALTH CENTER

MEDICARE: PORTAGE PATH COMMUNITY MENTAL HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225087802
Entity Type Code : Organization
Provider Name (Legal Business Name) : PORTAGE PATH COMMUNITY MENTAL HEALTH CENTER
Provider Business Mailing Address
First Line : 340 S BROADWAY ST
Second Line :
City : AKRON
State : OH
Zip : 44308-1529
Country : US
Telephone Number : 330-253-3100
Fax Number : 330-253-5248
Provider Business Practice Location Address
First Line : 340 S BROADWAY ST
Second Line :
City : AKRON
State : OH
Zip : 44308-1529
Country : US
Telephone Number : 330-253-3100
Fax Number : 330-253-5248
Authorized Official
Title or Position : PRESIDENT
Name : MRS. TRACY YAEGER
Credential : PHD
Telephone Number : 330-253-3100
Provider Enumeration Date : 05/09/2006
Last Update Date : 01/06/2017

Similar Medicare Providers

1134070386 — DARLENE BALOG
Practice Location Address:
340 S BROADWAY ST
AKRON, OH
44308-1529
Practice Phone: 330-253-3100
Practice Fax: 330-253-5248
1093797490 — DR. STACEY SUE KLINE PHARM.D.
Practice Location Address:
340 S BROADWAY ST
AKRON, OH
44308-1529
Practice Phone: 330-253-3600
Practice Fax: 330-253-3601
1447351788 — MS. JANNA LE TENHUISEN LISW, MSSA
Practice Location Address:
340 S BROADWAY ST
AKRON, OH
44308-1529
Practice Phone: 330-253-3100
Practice Fax: 330-253-5248
1316048655 — MS. CLAUDIA SUSAN WILLIAMS RNC
Practice Location Address:
340 S BROADWAY ST
AKRON, OH
44308-1529
Practice Phone: 330-253-3100
Practice Fax: 330-253-5248
1811098072 — MR. WILLIAM R CERVENIK PCC
Practice Location Address:
340 S BROADWAY ST
AKRON, OH
44308-1529
Practice Phone: 330-253-3100
Practice Fax: 330-253-5248
1447351606 — MS. LINDA S LICH RN,BSW
Practice Location Address:
340 S BROADWAY ST
AKRON, OH
44308-1529
Practice Phone: 330-253-3100
Practice Fax: 330-253-5248

Directions to “PORTAGE PATH COMMUNITY MENTAL HEALTH CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.