| Center For Greater Healing Llc | |
|
3232 Central Park Dr W Ste C Toledo OH 43617-3011 | |
| (419) 740-0402 | |
| (567) 232-9178 |
| Full Name | Center For Greater Healing Llc |
|---|---|
| Speciality | Counselor |
| Location | 3232 Central Park Dr W Ste C, Toledo, Ohio |
| Authorized Official Name and Position | Kurt Landis (OWNER) |
| Authorized Official Contact | 5676944679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Greater Healing Llc 3232 Central Park Dr W Ste C Toledo OH 43617-3011 Ph: (419) 740-0402 | Center For Greater Healing Llc 3232 Central Park Dr W Ste C Toledo OH 43617-3011 Ph: (419) 740-0402 |
| NPI Number | 1114789906 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Medicare PECOS PAC ID | 5294174942 |
|---|---|
| Medicare Enrollment ID | O20240415003036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114789906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kurt Landis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497250997 PECOS PAC ID: 8527407279 Enrollment ID: I20240415003230 |
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