MEDICARE: LOOK IN THE MIRROR, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1770446825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOOK IN THE MIRROR, LLC

Provider Business Mailing Address
First Line	:	735 HASKINS RD STE C
Second Line	:
City	:	BOWLING GREEN
State	:	OH
Zip	:	43402-1620
Country	:	US
Telephone Number	:	567-234-6567
Fax Number	:

Provider Business Practice Location Address
First Line	:	735 HASKINS RD STE C
Second Line	:
City	:	BOWLING GREEN
State	:	OH
Zip	:	43402-1620
Country	:	US
Telephone Number	:	567-234-6567
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEE RING
Credential	:	MSW, LISW-S
Telephone Number	:	567-899-3379

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “LOOK IN THE MIRROR, LLC ” Practice Location

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