Organization Name: | BADEN COUNSELING SERVICES, L.L.C. |
NPI Number: | 1861722704 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA BADEN (PRESIDENT) |
Mailing Address: | 140 Grand Trunk Ave Sw Unit G Hartville |
State: | OH US |
Postal Code: | 446328547 |
Phone Number: | 3304181777 |
Fax Number: | 3309661550 |
NPI Enumeration Date: | 12/27/2009 |
NPI Last Update Date: | 12/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E-0003620 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |