Provider Demographics
NPI:1174007934
Name:TOLEDO COUNSELING & MENTAL HEALTH LLC
Entity Type:Organization
Organization Name:TOLEDO COUNSELING & MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:BADRA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:419-699-4244
Mailing Address - Street 1:3454 OAK ALLEY CT STE 504
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1356
Mailing Address - Country:US
Mailing Address - Phone:419-699-4244
Mailing Address - Fax:
Practice Address - Street 1:3454 OAK ALLEY CT STE 504
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1356
Practice Address - Country:US
Practice Address - Phone:419-699-4244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty