1659499465 NPI number — COUNSELING PROFESSIONALS, INC.

Table of content: (NPI 1659499465)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659499465 NPI number — COUNSELING PROFESSIONALS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNSELING PROFESSIONALS, 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:
1659499465
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3869 DARROW RD
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
STOW
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44224-2691
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-686-2748
Provider Business Mailing Address Fax Number:
330-686-2784

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3869 DARROW RD
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
STOW
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44224-2691
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-686-2748
Provider Business Practice Location Address Fax Number:
330-686-2784
Provider Enumeration Date:
03/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
YONAS
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
330-864-1616

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  872991 , 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: I2527 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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