| Amigo Family Counseling Llc | |
|
355 E. Campus View Blvd. Suite 105 Columbus OH 43235-5971 | |
| (614) 310-1234 | |
| (614) 310-1237 |
| Full Name | Amigo Family Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 355 E. Campus View Blvd., Columbus, Ohio |
| Authorized Official Name and Position | Leslie Fuchs (PRESIDENT) |
| Authorized Official Contact | 8103581643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amigo Family Counseling Llc 355 E. Campus View Blvd. Suite 105 Columbus OH 43235-5971 Ph: (614) 310-1234 | Amigo Family Counseling Llc 355 E. Campus View Blvd. Suite 105 Columbus OH 43235-5971 Ph: (614) 310-1234 |
| NPI Number | 1316973431 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 4587660493 |
|---|---|
| Medicare Enrollment ID | O20061017000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316973431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4585 (Ohio) | Primary |
| Provider Name | Michael A Bayda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518982826 PECOS PAC ID: 4486624509 Enrollment ID: I20040727001329 |
| Provider Name | Emilio M Amigo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467465609 PECOS PAC ID: 2769438373 Enrollment ID: I20061017000583 |
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