| Fireweed Child & Adolescent Counseling, Llc | |
|
1351 S Reynolds Rd Ste B Toledo OH 43615-7411 | |
| (419) 280-2165 | |
| (419) 715-7067 |
| Full Name | Fireweed Child & Adolescent Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1351 S Reynolds Rd Ste B, Toledo, Ohio |
| Authorized Official Name and Position | Alyssa Christine Anderson (OWNER) |
| Authorized Official Contact | 4192802165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fireweed Child & Adolescent Counseling, Llc 1351 S Reynolds Rd Ste B Toledo OH 43615-7411 Ph: (419) 280-2165 | Fireweed Child & Adolescent Counseling, Llc 1351 S Reynolds Rd Ste B Toledo OH 43615-7411 Ph: (419) 280-2165 |
| NPI Number | 1770125791 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 04/09/2020 |
| Certification Date | 04/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770125791 | NPI | - | NPPES |
| 0273324 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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