Liza Simrell, Llc | |
5749 Park Center Ct Toledo OH 43615-1479 | |
(567) 694-5944 | |
Not Available |
Full Name | Liza Simrell, Llc |
---|---|
Speciality | Counselor |
Location | 5749 Park Center Ct, Toledo, Ohio |
Authorized Official Name and Position | Liza Simrell (OWNER) |
Authorized Official Contact | 5676945944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Liza Simrell, Llc 7849 Hawkins Ct Sylvania OH 43560-9243 Ph: (419) 304-3828 | Liza Simrell, Llc 5749 Park Center Ct Toledo OH 43615-1479 Ph: (567) 694-5944 |
NPI Number | 1891551453 |
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Provider Enumeration Date | 02/22/2024 |
Last Update Date | 02/22/2024 |
Certification Date | 02/22/2024 |
Medicare PECOS PAC ID | 2365881380 |
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Medicare Enrollment ID | O20240423002564 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891551453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Liza Simrell |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598218034 PECOS PAC ID: 4880033802 Enrollment ID: I20240423002943 |
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