| Organization Name: | COUNSELING AWARENESS CENTER, LLC |
| NPI Number: | 1447542584 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSANNE M KEISTER (PRESIDENT) |
| Mailing Address: | 103 N Main St Delphos |
| State: | OH US |
| Postal Code: | 458331766 |
| Phone Number: | 4192367370 |
| Fax Number: | 4196954411 |
| NPI Enumeration Date: | 05/09/2011 |
| NPI Last Update Date: | 05/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E-0002644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |