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NPI Code Detail

MEDICARE: MENDED REEDS SERVICES, INC.

MEDICARE: MENDED REEDS SERVICES, INC.
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
1101YA0400XAddiction (Substance Use Disorder) Counselor0588OH
2251S00000XCommunity/Behavioral Health Agency0588OH

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 : 1730594219
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENDED REEDS SERVICES, INC.
Provider Business Mailing Address
First Line : PO BOX 108
Second Line :
City : IRONTON
State : OH
Zip : 45638-0108
Country : US
Telephone Number : 740-532-6220
Fax Number : 740-532-3197
Provider Business Practice Location Address
First Line : 700 PARK AVE
Second Line :
City : IRONTON
State : OH
Zip : 45638-1502
Country : US
Telephone Number : 740-532-1613
Fax Number : 740-532-1715
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. DEBBIE HIXON
Credential :
Telephone Number : 740-532-6220
Provider Enumeration Date : 06/24/2014
Last Update Date : 11/20/2023

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Practice Location Address:
700 PARK AVE
IRONTON, OH
45638-1502
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1114293842 — KRISTINA M BURNS LPCC-S, LICDC
Practice Location Address:
700 PARK AVE
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45638-1502
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1801154950 — MENDED REEDS MENTAL HEALTH, INC.
Practice Location Address:
700 PARK AVE
IRONTON, OH
45638-1502
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1407261977 — MENDED REEDS SERVICES, INC.
Practice Location Address:
700 PARK AVE
IRONTON, OH
45638-1502
Practice Phone: 740-532-1613
Practice Fax: 740-532-1715

Directions to “MENDED REEDS SERVICES, INC. ” Practice Location

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