MEDICARE: AURORA HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	101YP2500X	Professional Counselor
4	103TC1900X	Counseling Psychologist
5	106H00000X	Marriage & Family Therapist
6	221700000X	Art Therapist
7	225A00000X	Music Therapist
8	101Y00000X	Counselor

General Provider Information

NPI Number	:	1851904890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	993 BRODHEAD RD STE 203
Second Line	:
City	:	MOON TWP
State	:	PA
Zip	:	15108-2331
Country	:	US
Telephone Number	:	412-996-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 6TH STREET NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44702-1005
Country	:	US
Telephone Number	:	412-996-9100
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	RAQUEL GARCIA
Credential	:
Telephone Number	:	412-996-9100

Provider Enumeration Date	:	08/28/2020
Last Update Date	:	09/07/2021

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Directions to “AURORA HEALTH SERVICES LLC ” Practice Location

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