| Vitality Counseling Llc | |
|
3305 W Bancroft St Ottawa Hills OH 43606-2601 | |
| (419) 461-1983 | |
| Not Available |
| Full Name | Vitality Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3305 W Bancroft St, Ottawa Hills, Ohio |
| Authorized Official Name and Position | Elizabeth E Bergman (OWNER) |
| Authorized Official Contact | 4194611983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Counseling Llc 3305 W Bancroft St Ottawa Hills OH 43606-2601 Ph: (419) 461-1983 | Vitality Counseling Llc 3305 W Bancroft St Ottawa Hills OH 43606-2601 Ph: (419) 461-1983 |
| NPI Number | 1083330393 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 10/18/2022 |
| Certification Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083330393 | NPI | - | NPPES |
| 1659879849 | Medicaid | OH | |
| 0266112 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Toledo Psychiatric Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2060 Whitehall Rd, Ottawa Hills, OH 43606 Phone: 419-787-6691 | |
Sandeep Gupta Md Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2450 Underhill Rd, Ottawa Hills, OH 43615 Phone: 419-290-3672 |