| Selenite Counseling Services, Llc | |
|
745 W Fremont St Fostoria OH 44830-1615 | |
| (419) 601-6338 | |
| Not Available |
| Full Name | Selenite Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 745 W Fremont St, Fostoria, Ohio |
| Authorized Official Name and Position | Madison Bishop (THERAPIST) |
| Authorized Official Contact | 4196016338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Selenite Counseling Services, Llc 745 W Fremont St Fostoria OH 44830-1615 Ph: (419) 601-6338 | Selenite Counseling Services, Llc 745 W Fremont St Fostoria OH 44830-1615 Ph: (419) 601-6338 |
| NPI Number | 1144082207 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144082207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
Serenity Christian Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 S Main St Ste 305, Fostoria, OH 44830 Phone: 567-429-1000 Fax: 419-436-7460 | |
Fostoria Alcohol/drug Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 S Main St Ste B, Fostoria, OH 44830 Phone: 419-435-9465 Fax: 419-435-0493 |