1164865713 NPI number — WE CARE COUNSELING, INC.

Table of content: (NPI 1164865713)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164865713 NPI number — WE CARE COUNSELING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WE CARE COUNSELING, INC.
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:
Provider Other Organization Name Type Code:
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:
1164865713
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/31/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10216B CLEVELAND AVE NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UNIONTOWN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44685-9411
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-305-9100
Provider Business Mailing Address Fax Number:
330-305-9103

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10216B CLEVELAND AVE NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44685-9411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-305-9100
Provider Business Practice Location Address Fax Number:
330-305-9103
Provider Enumeration Date:
04/14/2013

Additional Information

Authorized Official

Authorized Official Last Name:
MCMULLIN
Authorized Official First Name:
SANDRA
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
CLINICAL DIRECTOR
Authorized Official Telephone Number:
330-305-9100

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  E.0700447-SUPV , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 364SP0810X , with the licence number: RN173920 , 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)

  • Identifier: 2098331 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 78797000 . This is a "OHIO IDENTIFICATION NUMBER" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0233251 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0244965 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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