PANACEA BEHAVIOR THERAPY (NPI# 1235742685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235742685 |
Entity Type | Organization |
Organization Name | PANACEA BEHAVIOR THERAPY |
Practice Address |
2703 Mahoning Ave Ste 103 Youngstown OH 44509-2337 |
Practice Telephone | 3309802353 |
Practice Fax Number | 3307815178 |
Mailing Telephone | 3309802353 |
Mailing Fax Number | 3307815178 |
Enumeration Date | 2020-08-26 |
Last Update Date | 2020-08-26 |
Authorized Official Name | FAITH PALMER (OWNER) |
Authorized Official Telephone | 3309802353 |
Authorized Official Credential | CDCA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
2703 MAHONING AVE STE 103 |
City | YOUNGSTOWN |
State | OH |
Zip Code | 44509-2337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699382721 | Briann C Little | Home Health | 241 S Osborn Ave, Youngstown, OH 44509 | 2020-09-23 |
1639794498 | Drelynn Jacobs | Home Health Aide | 216 S Schenley Ave, Youngstown, OH 44509 | 2020-06-08 |
1619596707 | Adrian Leondra Allen | Technician | 34 S. Hazelwood Ave, Youngstown, OH 44509 | 2020-04-09 |
1851811152 | Grace Services, Inc. | Public Health or Welfare | 715 N Meridian Road, Youngstown, OH 44509 | 2017-06-27 |
1093260689 | Laticia Ruberto | Counselor | 527 N, Meridian Rd, Youngstown, OH 44509 | 2016-08-24 |
1154705275 | Debbie Taylor | Counselor | 527 N. Meridian Road, Youngstown, OH 44509 | 2015-07-18 |
1043552680 | Robinette Patrice Dawson | Home Health | 218 S Portland Ave, Youngstown, OH 44509 | 2013-03-21 |
1194097006 | Jonnelle L Ballard | Licensed Practical Nurse | 970 S Belle Vista Ave, Youngstown, OH 44509 | 2012-02-08 |
1740565548 | Elias Emile Boulos Jr. | Pharmacist | 40 North Meridian Rd, Youngstown, OH 44509 | 2011-10-13 |
1508067356 | Ruby R Grover | Social Worker | 527 N Meridian Road, Youngstown, OH 44509 | 2007-05-30 |
Find all providers in zip 44509 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
1538771282 | Faith Marie Palmer | Counselor | 2703 Mahoning Ave Ste 105, Youngstown, OH 44509-2337 | 2020-08-22 |
1245895119 | Clinton Lynch | Counselor | 506 E Liberty St, Youngstown, OH 44505-1544 | 2019-05-07 |
1760047187 | Norman L Carter | Counselor | 108 W Indianola Ave, Youngstown, OH 44507-1459 | 2019-05-02 |
1043791825 | Jessica Marie Glandorf | Counselor | 1185 Townsend Ave, Youngstown, OH 44505-1267 | 2018-08-28 |
1194204933 | Nicole Marie Campana | Counselor | 2217 Lyon Blvd, Youngstown, OH 44514-1568 | 2018-08-13 |
1417442112 | Melanie J King | Counselor | 555 S Hazelwood Ave, Youngstown, OH 44509-2231 | 2018-06-25 |
1922590173 | Bonnie Warrington | Counselor | 344 Broadview Ave, Youngstown, OH 44509-1149 | 2018-06-04 |
1013418508 | Angel Olivia Pixley | Counselor | 881 Rose St, Youngstown, OH 44506-1431 | 2018-02-21 |
1184142432 | Felicia Briggs | Counselor | 2151 Rush Blvd., Youngstown, OH 44507 | 2017-09-07 |
Find all providers in YOUNGSTOWN |
City | YOUNGSTOWN |
Zip Code | 44509 |
Please comment or provide details below to improve the information on PANACEA BEHAVIOR THERAPY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.