| Presence Of Mind Counseling | |
|
1234 Ridgewood Dr Ste C Bowling Green OH 43402-2695 | |
| (419) 408-5533 | |
| Not Available |
| Full Name | Presence Of Mind Counseling |
|---|---|
| Speciality | Counselor |
| Location | 1234 Ridgewood Dr Ste C, Bowling Green, Ohio |
| Authorized Official Name and Position | Ellen Larabee (OWNER) |
| Authorized Official Contact | 4195752298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Presence Of Mind Counseling 1234 Ridgewood Dr Ste C Bowling Green OH 43402-2695 Ph: (419) 408-5533 | Presence Of Mind Counseling 1234 Ridgewood Dr Ste C Bowling Green OH 43402-2695 Ph: (419) 408-5533 |
| NPI Number | 1174253108 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 4688116288 |
|---|---|
| Medicare Enrollment ID | O20240611002563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174253108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tracy Lynn Freese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336651975 PECOS PAC ID: 7315386232 Enrollment ID: I20240411002720 |
| Provider Name | Ellen Larabee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306200928 PECOS PAC ID: 6406398007 Enrollment ID: I20240611002603 |
| Provider Name | Grace K Shade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407369978 PECOS PAC ID: 5193267599 Enrollment ID: I20240612002708 |
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