| Balancing Minds Counseling Center Llc | |
|
875 Springmill St Mansfield OH 44906-2045 | |
| (419) 610-9570 | |
| Not Available |
| Full Name | Balancing Minds Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 875 Springmill St, Mansfield, Ohio |
| Authorized Official Name and Position | Fred Grant (OWNER) |
| Authorized Official Contact | 4196109570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balancing Minds Counseling Center Llc 875 Springmill St Mansfield OH 44906-2045 Ph: (419) 610-9570 | Balancing Minds Counseling Center Llc 875 Springmill St Mansfield OH 44906-2045 Ph: (419) 610-9570 |
| NPI Number | 1457001919 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Medicare PECOS PAC ID | 6305288309 |
|---|---|
| Medicare Enrollment ID | O20240522002061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457001919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Frederick Grant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609222488 PECOS PAC ID: 1658814496 Enrollment ID: I20240620003189 |
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