| Mighty Oak Christian Counseling Llc | |
|
441 Frazee Ave Ste A Bowling Green OH 43402-1886 | |
| (419) 575-7910 | |
| (419) 386-0951 |
| Full Name | Mighty Oak Christian Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 441 Frazee Ave Ste A, Bowling Green, Ohio |
| Authorized Official Name and Position | Linann M Teggart (PROFESSIONAL CLINICAL COUNSELOR) |
| Authorized Official Contact | 4195757910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mighty Oak Christian Counseling Llc 441 Frazee Ave Ste A Bowling Green OH 43402-1886 Ph: (419) 575-7910 | Mighty Oak Christian Counseling Llc 441 Frazee Ave Ste A Bowling Green OH 43402-1886 Ph: (419) 575-7910 |
| NPI Number | 1003361734 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 7618418559 |
|---|---|
| Medicare Enrollment ID | O20240919001324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003361734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C00900343 (Ohio) | Primary |
| Provider Name | Wayne David Morse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235136888 PECOS PAC ID: 5698720332 Enrollment ID: I20050317000999 |
| Provider Name | Linann May Teggart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336444538 PECOS PAC ID: 0345781282 Enrollment ID: I20240919003330 |
| Provider Name | Brenda S. Wilhelm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104361740 PECOS PAC ID: 5395278261 Enrollment ID: I20241030002932 |
| Provider Name | Adrian Baney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124247986 PECOS PAC ID: 9133653454 Enrollment ID: I20241108003114 |
| Provider Name | Lisa Napierala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487008991 PECOS PAC ID: 3870027048 Enrollment ID: I20241111001434 |
| Provider Name | Johanna Christianne Vanrenterghem |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881939270 PECOS PAC ID: 0446785489 Enrollment ID: I20241127001041 |
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