| The Chambers For Life Change Llc | |
|
118 W South Boundary St Perrysburg OH 43551-5102 | |
| (567) 218-1207 | |
| Not Available |
| Full Name | The Chambers For Life Change Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 118 W South Boundary St, Perrysburg, Ohio |
| Authorized Official Name and Position | Kristen Diane Blessing (CLINICAL THERAPIST) |
| Authorized Official Contact | 5672181207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Chambers For Life Change Llc 3244 Chasenwood Way Perrysburg OH 43551-6942 Ph: (567) 277-2715 | The Chambers For Life Change Llc 118 W South Boundary St Perrysburg OH 43551-5102 Ph: (567) 218-1207 |
| NPI Number | 1861002768 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 10/08/2025 |
| Certification Date | 10/08/2025 |
| Medicare PECOS PAC ID | 3971929928 |
|---|---|
| Medicare Enrollment ID | O20200820002481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861002768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kristen Diane Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144616582 PECOS PAC ID: 1658684261 Enrollment ID: I20150724010872 |
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