| Whole Self Counseling Llc | |
|
119 W 2nd St Perrysburg OH 43551-1471 | |
| (815) 207-1278 | |
| Not Available |
| Full Name | Whole Self Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 119 W 2nd St, Perrysburg, Ohio |
| Authorized Official Name and Position | Joy C Herrera (OWNER) |
| Authorized Official Contact | 8152071278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Self Counseling Llc 3135 N Bolander Rd Genoa OH 43430-9739 Ph: (815) 207-1278 | Whole Self Counseling Llc 119 W 2nd St Perrysburg OH 43551-1471 Ph: (815) 207-1278 |
| NPI Number | 1033985213 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 6002251576 |
|---|---|
| Medicare Enrollment ID | O20240224000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033985213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joy C Herrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376043398 PECOS PAC ID: 7810332384 Enrollment ID: I20240224000362 |
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