Victory Counseling Center, Llc | |
1140 Lexington Ave Mansfield OH 44907-2254 | |
(419) 565-5825 | |
Not Available |
Full Name | Victory Counseling Center, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1140 Lexington Ave, Mansfield, Ohio |
Authorized Official Name and Position | Vickie L Jarvis (OWNER/THERAPIST) |
Authorized Official Contact | 4195655825 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Victory Counseling Center, Llc 1779 State Route 97 Butler OH 44822-9795 Ph: (419) 565-5825 | Victory Counseling Center, Llc 1140 Lexington Ave Mansfield OH 44907-2254 Ph: (419) 565-5825 |
NPI Number | 1144656117 |
---|---|
Provider Enumeration Date | 09/22/2013 |
Last Update Date | 09/22/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144656117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | E.0500279 (Ohio) | Primary |
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