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NPI Code Detail

MEDICARE: BETHESDA SERVICES LLC

MEDICARE: BETHESDA SERVICES 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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1992392005
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETHESDA SERVICES LLC
Provider Business Mailing Address
First Line : 2727 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638
Country : US
Telephone Number : 740-534-2100
Fax Number :
Provider Business Practice Location Address
First Line : 2727 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2760
Country : US
Telephone Number : 740-534-2100
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR/OWNER
Name : MARY ELLEN SMITH
Credential : RN
Telephone Number : 814-512-0105
Provider Enumeration Date : 12/22/2020
Last Update Date : 08/20/2024

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Directions to “BETHESDA SERVICES LLC ” Practice Location

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