Enlighten Counseling Center, Llc | |
27511 Holiday Ln Ste 201 Perrysburg OH 43551-5397 | |
(419) 491-4662 | |
Not Available |
Full Name | Enlighten Counseling Center, Llc |
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Speciality | Social Worker |
Location | 27511 Holiday Ln Ste 201, Perrysburg, Ohio |
Authorized Official Name and Position | Branden Smith (OWNER) |
Authorized Official Contact | 4194500892 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Enlighten Counseling Center, Llc 27511 Holiday Ln Ste 201 Perrysburg OH 43551-5397 Ph: () - | Enlighten Counseling Center, Llc 27511 Holiday Ln Ste 201 Perrysburg OH 43551-5397 Ph: (419) 491-4662 |
NPI Number | 1306550819 |
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Provider Enumeration Date | 01/09/2023 |
Last Update Date | 08/29/2024 |
Certification Date | 08/29/2024 |
Medicare PECOS PAC ID | 3375918675 |
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Medicare Enrollment ID | O20230418001498 |
Identifier | Type | State | Issuer |
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1306550819 | NPI | - | NPPES |
Provider Name | Branden Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295254373 PECOS PAC ID: 4880078468 Enrollment ID: I20220831000788 |
Provider Name | Debora Van Romer |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1013246826 PECOS PAC ID: 2769834670 Enrollment ID: I20240116004275 |
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