| Urgent Care Counseling Center, Llc | |
|
2525 W Bancroft St Toledo OH 43607-1311 | |
| (419) 578-2525 | |
| (419) 536-9220 |
| Full Name | Urgent Care Counseling Center, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2525 W Bancroft St, Toledo, Ohio |
| Authorized Official Name and Position | Linda Whittington-clark (PRESIDENT) |
| Authorized Official Contact | 4195782525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Care Counseling Center, Llc 2525 W Bancroft St Toledo OH 43607-1311 Ph: (419) 578-2525 | Urgent Care Counseling Center, Llc 2525 W Bancroft St Toledo OH 43607-1311 Ph: (419) 578-2525 |
| NPI Number | 1760735229 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 10/22/2012 |
| Medicare PECOS PAC ID | 6800049560 |
|---|---|
| Medicare Enrollment ID | O20130104000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760735229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | E225-S (Ohio) | Primary |
| Provider Name | Linda E Whittington Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801922026 PECOS PAC ID: 9133394273 Enrollment ID: I20111221000709 |
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