Valerie Liebert Llc | |
337 W. 2nd Street Perrysburg OH 43551-1406 | |
(419) 309-7100 | |
Not Available |
Full Name | Valerie Liebert Llc |
---|---|
Speciality | Counselor |
Location | 337 W. 2nd Street, Perrysburg, Ohio |
Authorized Official Name and Position | Valerie Jean Liebert (OWNER/PRESIDENT) |
Authorized Official Contact | 4193097100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Valerie Liebert Llc 337 W. 2nd Street Perrysburg OH 43551-1406 Ph: (419) 309-7100 | Valerie Liebert Llc 337 W. 2nd Street Perrysburg OH 43551-1406 Ph: (419) 309-7100 |
NPI Number | 1184308868 |
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Provider Enumeration Date | 06/13/2023 |
Last Update Date | 06/13/2023 |
Certification Date | 06/13/2023 |
Medicare PECOS PAC ID | 1456792159 |
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Medicare Enrollment ID | O20240513001937 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184308868 | NPI | - | NPPES |
0190462 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Valerie Liebert |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1306970835 PECOS PAC ID: 2365883063 Enrollment ID: I20240513002022 |
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