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NPI Code Detail

MEDICARE: A NEW DIRECTION FOR COUNSELING, LLC

MEDICARE: A NEW DIRECTION FOR COUNSELING, LLC
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
1101YP1600XPastoral Counselor
2101YP2500XProfessional Counselor
3106H00000XMarriage & Family Therapist
4101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1659644607
Entity Type Code : Organization
Provider Name (Legal Business Name) : A NEW DIRECTION FOR COUNSELING, LLC
Provider Business Mailing Address
First Line : 1411 N FAIRFIELD RD
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45432-2658
Country : US
Telephone Number : 937-426-2686
Fax Number : 937-426-6230
Provider Business Practice Location Address
First Line : 1411 N FAIRFIELD RD
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45432-2658
Country : US
Telephone Number : 937-426-2686
Fax Number : 937-426-6230
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : PATRICIA A KANIUGA
Credential : MS, PCC-S
Telephone Number : 937-426-2686
Provider Enumeration Date : 02/21/2012
Last Update Date : 12/09/2020

Similar Medicare Providers

1659371292 — MS. PATRICIA A KANIUGA LPCC
Practice Location Address:
1411 N FAIRFIELD RD
BEAVERCREEK, OH
45432-2658
Practice Phone: 937-426-2686
Practice Fax:
1669490025 — DR. RICHARD A WANTZ ED.D.
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1598925547 — KLINE AND ASSOCIATES
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Practice Fax:
1023356185 — MRS. ALLISON NEWLIN PC
Practice Location Address:
1411 N FAIRFIELD RD
BEAVERCREEK, OH
45432-2658
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Practice Fax: 937-426-6230
1396133757 — MRS. ELIZABETH CONNELLY PC
Practice Location Address:
1411 N FAIRFIELD RD
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45432-2658
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1912355579 — MR. JEFFREY ALLEN SMART LPCC-S, LICDC
Practice Location Address:
1411 N FAIRFIELD RD
BEAVERCREEK, OH
45432-2658
Practice Phone: 937-426-2686
Practice Fax: 937-426-6230

Directions to “A NEW DIRECTION FOR COUNSELING, LLC ” Practice Location

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