OPEN WATER COUNSELING AND RECOVERY, LLC (NPI# 1932747888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932747888 |
Entity Type | Organization |
Organization Name | OPEN WATER COUNSELING AND RECOVERY, LLC |
Practice Address |
1725 Drexel Ave Nw Warren OH 44485-2121 |
Mailing Address |
5547 Mahoning Ave # 143 Austintown OH 44515-2316 |
Practice Telephone | 3305393200 |
Mailing Telephone | 3305393200 |
Enumeration Date | 2019-12-11 |
Last Update Date | 2019-12-11 |
Authorized Official Name | THOMAS DEWEY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3305393200 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447877147 | Open Water Counseling and Recovery, LLC | Substance Abuse Rehabilitation Facility | 1725 Drexel Ave Nw, Warren, OH 44485-2121 | 2020-06-29 |
Street Address |
1725 DREXEL AVE NW |
City | WARREN |
State | OH |
Zip Code | 44485-2121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447877147 | Open Water Counseling and Recovery, LLC | Substance Abuse Rehabilitation Facility | 1725 Drexel Ave Nw, Warren, OH 44485-2121 | 2020-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780284752 | Heather Lynn Ayres | Technician | 4046 North Leavitt Rd Nw, Warren, OH 44485 | 2020-10-29 |
1730576315 | Jeanetta Chatmon | Community Health Worker | 1447 Kensington St. Nw, Warren, OH 44485 | 2015-04-21 |
1003201351 | Laneka Oliver | Home Health | 1655 Denison Ave, Warren, OH 44485 | 2015-04-03 |
1437401155 | Rhoda Darlene Killingworth | Nurse's Aide | 1510 Arthur Dr Nw, Warren, OH 44485 | 2012-10-04 |
1477844033 | Lakshmi Padmanabhan | Pharmacist | 1560 Parkman Road, Rite Aid Pharmacy, Warren, OH 44485 | 2011-04-29 |
1225332422 | Dashah Brendae Adams | Licensed Practical Nurse | 3270 Dunstan Dr. Nw, Warren, OH 44485 | 2011-01-03 |
1982854188 | Deanna Lynne Nussle | Registered Nurse | 1480 Tod Ave, Warren, OH 44485 | 2008-09-24 |
1003093170 | Kila E Mcghee | Home Health | 1108 Tod Ave Nw, Warren, OH 44485 | 2008-01-30 |
1639372816 | Stella L Reese | Home Health Aide | 1890 Northfield Nw, Attn Karen Morgan, Warren, OH 44485 | 2007-06-06 |
1417016239 | Laura Marie Buck | Counselor | Louis Stokes Cleveland Medical Center, 1406 Tod Ave Nw Warren Va Cboc, Warren, OH 44485 | 2006-12-07 |
Find all providers in zip 44485 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
1720638141 | Jody Cohen | Counselor | 212 Melius Rd, Warren, CT 06754-1505 | 2019-09-17 |
1821554304 | Tamara Dallaire | Counselor | 23 Denver Ave, Warren, RI 02885-1839 | 2019-02-20 |
1871082115 | Thrive Counseling LLC | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-05-02 |
1689172827 | Megan Elizabeth Cook | Counselor | 5 Mountain Blvd Ste 4, Warren, NJ 07059-2625 | 2018-01-23 |
1518405190 | Tadarrio Lowery | Counselor | 414 Trumbull Ave Se, Warren, OH 44483-6339 | 2017-02-03 |
1396110904 | R'taveous Merritt | Counselor | 27567 Parkview Blvd, Warren, MI 48092-2975 | 2015-12-08 |
1144602897 | Alana Maria Nicolazzo | Counselor | 29203 Roan Dr, Warren, MI 48093-3566 | 2015-06-18 |
1346526753 | Weston Martin | Counselor | 648 Main St, Warren, RI 02885-4387 | 2011-10-30 |
1295962355 | Kimberly Beck | Counselor | 2000 East Market Street, Warren, OH 44483 | 2009-06-16 |
Find all providers in WARREN |
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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.