Mousumi Mallik, MA | |
2211 River Rd, Maumee, OH 43537-3637 | |
(419) 740-3052 | |
Not Available |
Full Name | Mousumi Mallik |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2211 River Rd, Maumee, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326514308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.2303491 (Ohio) | Primary |
Entity Name | Comprehensive Behavioral Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821266438 PECOS PAC ID: 2264502541 Enrollment ID: O20080529000100 |
Mailing Address | Practice Location Address |
---|---|
Mousumi Mallik, MA 31 Tanglewood Ln, Bowling Green, OH 43402-4478 Ph: (419) 410-7874 | Mousumi Mallik, MA 2211 River Rd, Maumee, OH 43537-3637 Ph: (419) 740-3052 |
Arianne M Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1757 Indian Wood Cir, Maumee, OH 43537 Phone: 866-688-6917 | |
Jenna Turek, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1757 Indian Wood Cir, Maumee, OH 43537 Phone: 866-688-6917 | |
Maggie Rashida Naseem, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1655 Holland Rd Ste F, Maumee, OH 43537 Phone: 833-510-4357 | |
Cheryl J Kinnersley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Indian Wood Cir Ste 100, Maumee, OH 43537 Phone: 419-897-9624 Fax: 419-897-0544 | |
Shaunte Harris, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6450 Weatherfield Ct, Maumee, OH 43537 Phone: 419-360-9747 | |
Megan Griffith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1757 Indian Wood Cir, Maumee, OH 43537 Phone: 866-688-6917 | |
Jenna K Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1760 Manley Rd, Maumee, OH 43537 Phone: 419-509-7214 |