| Toledo Counseling & Mental Health Llc | |
|
3454 Oak Alley Ct Ste 504 Toledo OH 43606-1356 | |
| (419) 699-4244 | |
| Not Available |
| Full Name | Toledo Counseling & Mental Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 3454 Oak Alley Ct Ste 504, Toledo, Ohio |
| Authorized Official Name and Position | Mohamed Badra (OWNER) |
| Authorized Official Contact | 4196994244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Toledo Counseling & Mental Health Llc 3454 Oak Alley Ct Ste 504 Toledo OH 43606-1356 Ph: (419) 699-4244 | Toledo Counseling & Mental Health Llc 3454 Oak Alley Ct Ste 504 Toledo OH 43606-1356 Ph: (419) 699-4244 |
| NPI Number | 1174007934 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/27/2022 |
| Medicare PECOS PAC ID | 1254736853 |
|---|---|
| Medicare Enrollment ID | O20211111002756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174007934 | NPI | - | NPPES |
| Provider Name | Jason K Goldswer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083875736 PECOS PAC ID: 4688729544 Enrollment ID: I20141111001112 |
| Provider Name | Jean A Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053504027 PECOS PAC ID: 0446552830 Enrollment ID: I20151230002800 |
| Provider Name | Amanda Skolmowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740603976 PECOS PAC ID: 8729357058 Enrollment ID: I20170630000026 |
| Provider Name | Katherine Gail Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548803331 PECOS PAC ID: 1759797194 Enrollment ID: I20210309001836 |
| Provider Name | Hannah Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750882460 PECOS PAC ID: 8123490638 Enrollment ID: I20230209002314 |
| Provider Name | Emily M Boston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033625694 PECOS PAC ID: 8628436979 Enrollment ID: I20230620001636 |
| Provider Name | Ashley L Kopaniasz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164741625 PECOS PAC ID: 0547611659 Enrollment ID: I20240112001016 |
| Provider Name | Julia Lake |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770082596 PECOS PAC ID: 3173974284 Enrollment ID: I20240112001068 |
| Provider Name | Stephanie Dawn Mcguire Wise |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982809521 PECOS PAC ID: 7618329269 Enrollment ID: I20240118003341 |
| Provider Name | Mohamed Badra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619367257 PECOS PAC ID: 1658776232 Enrollment ID: I20240119002332 |
| Provider Name | Kristin Bruce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235529777 PECOS PAC ID: 5294171187 Enrollment ID: I20240314000350 |
| Provider Name | Anthony John Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275052706 PECOS PAC ID: 8325485154 Enrollment ID: I20240328000827 |
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