| Benevolent Therapy Llc | |
|
3454 Oak Alley Ct Ste 214 Toledo OH 43606-1370 | |
| (419) 740-1836 | |
| Not Available |
| Full Name | Benevolent Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3454 Oak Alley Ct Ste 214, Toledo, Ohio |
| Authorized Official Name and Position | Jessica Jambor (OWNER) |
| Authorized Official Contact | 4193418728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benevolent Therapy Llc 3454 Oak Alley Ct Ste 214 Toledo OH 43606-1370 Ph: (419) 740-1836 | Benevolent Therapy Llc 3454 Oak Alley Ct Ste 214 Toledo OH 43606-1370 Ph: (419) 740-1836 |
| NPI Number | 1760201461 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Medicare PECOS PAC ID | 9234669086 |
|---|---|
| Medicare Enrollment ID | O20250207002373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760201461 | NPI | - | NPPES |
| Provider Name | Jessica Jambor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083197123 PECOS PAC ID: 1052841806 Enrollment ID: I20250207002593 |
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