MEDICARE: ELEANNA VLAHOS-HALL

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
1	101YS0200X	School Counselor	OH3221214	OH

General Provider Information

NPI Number	:	1447021381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELEANNA VLAHOS-HALL

Provider Business Mailing Address
First Line	:	3771 FAIRLAWN HEIGHTS DR SE
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-2753
Country	:	US
Telephone Number	:	330-720-2436
Fax Number	:

Provider Business Practice Location Address
First Line	:	3771 FAIRLAWN HEIGHTS DR SE
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-2753
Country	:	US
Telephone Number	:	330-720-2436
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2024
Last Update Date	:	01/10/2024

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Directions to “ ELEANNA VLAHOS-HALL ” Practice Location

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