Presence Of Mind Counseling | |
1234 Ridgewood Dr Ste C Bowling Green OH 43402-2695 | |
(419) 408-5533 | |
Not Available |
Full Name | Presence Of Mind Counseling |
---|---|
Speciality | Counselor |
Location | 1234 Ridgewood Dr Ste C, Bowling Green, Ohio |
Authorized Official Name and Position | Ellen Larabee (OWNER) |
Authorized Official Contact | 4195752298 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Presence Of Mind Counseling 1234 Ridgewood Dr Ste C Bowling Green OH 43402-2695 Ph: (419) 408-5533 | Presence Of Mind Counseling 1234 Ridgewood Dr Ste C Bowling Green OH 43402-2695 Ph: (419) 408-5533 |
NPI Number | 1174253108 |
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Provider Enumeration Date | 06/13/2022 |
Last Update Date | 02/26/2024 |
Certification Date | 02/26/2024 |
Medicare PECOS PAC ID | 4688116288 |
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Medicare Enrollment ID | O20240611002563 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174253108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Ellen Larabee |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1306200928 PECOS PAC ID: 6406398007 Enrollment ID: I20240611002603 |
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