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NPI Code Detail

MEDICARE: COLUMBIANA COUNTY MENTAL HEALTH CLINIC

MEDICARE: COLUMBIANA COUNTY MENTAL HEALTH CLINIC
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
1251B00000XCase Management Agency0118,2504OH
2261QM0850XAdult Mental Health Clinic/Center0118,2504OH
3261QM0855XAdolescent and Children Mental Health Clinic/Center0118,2504OH
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)0118,2504OH

Other Identifiers

General Provider Information

NPI Number : 1508827932
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBIANA COUNTY MENTAL HEALTH CLINIC
Provider Business Mailing Address
First Line : 40722 STATE ROUTE 154
Second Line : PO BOX 429
City : LISBON
State : OH
Zip : 44432-8500
Country : US
Telephone Number : 330-424-9573
Fax Number : 330-424-0877
Provider Business Practice Location Address
First Line : 40722 STATE ROUTE 154
Second Line :
City : LISBON
State : OH
Zip : 44432-8500
Country : US
Telephone Number : 330-424-9573
Fax Number : 330-424-0877
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. ROGER D SIKORSZKY
Credential :
Telephone Number : 330-424-7761
Provider Enumeration Date : 03/28/2006
Last Update Date : 02/07/2014

Similar Medicare Providers

1366371007 — MELINDA S MCGUIRE
Practice Location Address:
40722 STATE ROUTE 154
LISBON, OH
44432-8500
Practice Phone: 330-424-9573
Practice Fax: 330-424-0877
1417887316 — SARAH F DRIGGS
Practice Location Address:
40722 STATE ROUTE 154
LISBON, OH
44432-8500
Practice Phone: 330-424-9573
Practice Fax: 330-424-0877
1962517268 — JOHN FRISCO LISW
Practice Location Address:
40722 STATE ROUTE 154
LISBON, OH
44432-8500
Practice Phone: 330-424-9573
Practice Fax:
1265547558 — REX DELL LPCC
Practice Location Address:
40722 STATE ROUTE 154
LISBON, OH
44432-8500
Practice Phone: 330-424-9573
Practice Fax: 330-424-0877
1760575732 — CHARMION MARIE HARRIGAN LPCC
Practice Location Address:
40722 STATE ROUTE 154
LISBON, OH
44432-8500
Practice Phone: 330-424-9573
Practice Fax:
1629157490 — EVELYN ABRAMSON PHD
Practice Location Address:
40722 STATE ROUTE 154
LISBON, OH
44432-8500
Practice Phone: 330-424-9573
Practice Fax:

Directions to “COLUMBIANA COUNTY MENTAL HEALTH CLINIC ” Practice Location

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