Provider Demographics
NPI:1194826123
Name:ST. CLAIR HEALTH ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ST. CLAIR HEALTH ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PRITCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:740-695-4805
Mailing Address - Street 1:168 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-1534
Mailing Address - Country:US
Mailing Address - Phone:740-695-4805
Mailing Address - Fax:740-695-0487
Practice Address - Street 1:168 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-1534
Practice Address - Country:US
Practice Address - Phone:740-695-4805
Practice Address - Fax:740-695-0487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1156101YM0800X
OHI56821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHY144529OtherHEALTH PLAN UOV
OHSW16844Medicare ID - Type Unspecified