Provider Demographics
NPI:1851449730
Name:EMERGE MINISTRIES, INC.
Entity Type:Organization
Organization Name:EMERGE MINISTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL CLINICAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LUTSI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-867-5603
Mailing Address - Street 1:900 MULL AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7502
Mailing Address - Country:US
Mailing Address - Phone:330-867-5603
Mailing Address - Fax:330-873-3439
Practice Address - Street 1:900 MULL AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7502
Practice Address - Country:US
Practice Address - Phone:330-867-5603
Practice Address - Fax:330-873-3439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3226251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========ELMedicare UPIN
OH344648Medicare UPIN
OH243786616-00Medicare UPIN
OH243786616001Medicare UPIN
OH=========Medicare UPIN
OH6289135Medicare UPIN
OH7560434Medicare UPIN
OH000000217558Medicare UPIN
OH466158Medicare UPIN
OH800-966-0200Medicare UPIN