SPECIALTY CARE COUNSELING SERVICES LTD NPI 1972551141

NPI Information

NPI: 1972551141
Provider Name: SPECIALTY CARE COUNSELING SERVICES, LTD
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2000 E MARKET ST
WARREN, OH
ZIP 44483
Phone: (330) 399-1221
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SPECIALTY CARE COUNSELING SERVICES, LTD is a mental health counselor in Warren, OH. SPECIALTY CARE COUNSELING SERVICES, LTD NPI is 1972551141. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2000 E MARKET ST
WARREN, OH
ZIP 44483-156
Phone: (330) 399-1221
Fax: (330) 399-1205

The provider's authorized official is Ehab Sargious .
The authorized official title is Psychiatrist/owner and has the following contact phone number (330) 399-1221.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0540	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	459827	OTHER	OHIO	VALUE OPTIONS GROUP NUMBE
2	0540	OTHER	OHIO	ST. OF OH. CERT. #
3	2268719	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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