1326366014 NPI number — WELLNESS COUNSELING SOLUTIONS, LLC

Table of content: (NPI 1326366014)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326366014 NPI number — WELLNESS COUNSELING SOLUTIONS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WELLNESS COUNSELING SOLUTIONS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WYANDOT COUNSELING ASSOCIATES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326366014
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
102 S. SANDUSKY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UPPER SANDUSKY
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43351-1424
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-294-1212
Provider Business Mailing Address Fax Number:
419-294-6336

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
102 S. SANDUSKY AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UPPER SANDUSKY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43351-1424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-294-1212
Provider Business Practice Location Address Fax Number:
419-294-6336
Provider Enumeration Date:
05/05/2010

Additional Information

Authorized Official

Authorized Official Last Name:
TRAUSCH
Authorized Official First Name:
ANNA
Authorized Official Middle Name:
ADAIR
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
419-294-1212

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  83868 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 0600508 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: E-0007501 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP2500X , with the licence number: 1862 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: I8652 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: I7856 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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