| Douglas Borell Counseling Services Llc | |
|
6450 Weatherfield Ct Ste 1b Maumee OH 43537-9149 | |
| (419) 866-2830 | |
| (419) 866-2831 |
| Full Name | Douglas Borell Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 6450 Weatherfield Ct, Maumee, Ohio |
| Authorized Official Name and Position | Rachelle Anne Douglas-borell (PRESIDENT/OWNER) |
| Authorized Official Contact | 4198662830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Borell Counseling Services Llc 6450 Weatherfield Ct Ste 1b Maumee OH 43537-9149 Ph: (419) 866-2830 | Douglas Borell Counseling Services Llc 6450 Weatherfield Ct Ste 1b Maumee OH 43537-9149 Ph: (419) 866-2830 |
| NPI Number | 1508587601 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 01/29/2025 |
| Certification Date | 09/07/2022 |
| Medicare PECOS PAC ID | 8325588494 |
|---|---|
| Medicare Enrollment ID | O20250612003212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508587601 | NPI | - | NPPES |
| 0458498 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Rachelle Anne Douglas-borell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699781856 PECOS PAC ID: 6103337647 Enrollment ID: I20250612003391 |
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