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Organization

ADO HEALTH SERVICES INC.

Active
Parent organization
ADO HEALTH SERVICES INC.
Other names
Progressive Counseling Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADO HEALTH SERVICES INC.
Authorized official
MS. NICOLE KENDRA TOWNSEND CCS (CREDENTIALING SPECIALIST)
(330) 629-2888
Entity
Organization

Contact information

Practice address
1025 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4227
(330) 629-2434
(330) 629-2199
Mailing address
1011 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4226
(330) 629-2888
(330) 629-8940

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0153615
OH
01
13855
MEDICAID OMHAS
OH
01
36D2092456
CLIA WAIVER
Enumeration date
03/31/2014
Last updated
02/12/2016
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