| Enlighten Counseling Center, Llc | |
|
27511 Holiday Ln Ste 211 Perrysburg OH 43551-5397 | |
| (734) 230-2965 | |
| Not Available |
| Full Name | Enlighten Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 27511 Holiday Ln Ste 211, Perrysburg, Ohio |
| Authorized Official Name and Position | Branden Smith (OWNER) |
| Authorized Official Contact | 4194500892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enlighten Counseling Center, Llc 27511 Holiday Ln Ste 211 Perrysburg OH 43551-5397 Ph: () - | Enlighten Counseling Center, Llc 27511 Holiday Ln Ste 211 Perrysburg OH 43551-5397 Ph: (734) 230-2965 |
| NPI Number | 1306550819 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/17/2023 |
| Medicare PECOS PAC ID | 3375918675 |
|---|---|
| Medicare Enrollment ID | O20230418001498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306550819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Branden Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295254373 PECOS PAC ID: 4880078468 Enrollment ID: I20220831000788 |
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