| Blessings In Disguize | |
|
4334 W Central Ave Ste 203 Toledo OH 43615-1679 | |
| (419) 239-4079 | |
| Not Available |
| Full Name | Blessings In Disguize |
|---|---|
| Speciality | Social Worker |
| Location | 4334 W Central Ave Ste 203, Toledo, Ohio |
| Authorized Official Name and Position | Jasmine Lynn Pope (OWNER) |
| Authorized Official Contact | 4192394079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blessings In Disguize 1805 Fairfax Rd Toledo OH 43613-5211 Ph: (419) 239-4079 | Blessings In Disguize 4334 W Central Ave Ste 203 Toledo OH 43615-1679 Ph: (419) 239-4079 |
| NPI Number | 1205354305 |
|---|---|
| Provider Enumeration Date | 09/08/2017 |
| Last Update Date | 02/19/2019 |
| Medicare PECOS PAC ID | 7012274848 |
|---|---|
| Medicare Enrollment ID | O20171201002120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205354305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jasmine Lynn Pope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841711314 PECOS PAC ID: 8921365750 Enrollment ID: I20171201002226 |
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