| Amazing Brain Counseling Services | |
|
2213 N Limestone St Springfield OH 45503-2635 | |
| (937) 471-1825 | |
| (937) 471-1835 |
| Full Name | Amazing Brain Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2213 N Limestone St, Springfield, Ohio |
| Authorized Official Name and Position | Wendy Doolittle (OWNER/THERAPIST) |
| Authorized Official Contact | 9374711825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Brain Counseling Services 2213 N Limestone St Springfield OH 45503-2635 Ph: (937) 471-1825 | Amazing Brain Counseling Services 2213 N Limestone St Springfield OH 45503-2635 Ph: (937) 471-1825 |
| NPI Number | 1174110126 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 01/13/2021 |
| Certification Date | 01/13/2021 |
| Medicare PECOS PAC ID | 2163835984 |
|---|---|
| Medicare Enrollment ID | O20210114002707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174110126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Wendy Doolittle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376080978 PECOS PAC ID: 3678736485 Enrollment ID: I20210114002768 |
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