| Wild Lilac Counseling, Llc | |
|
24700 Center Ridge Rd Ste G50 Westlake OH 44145-5671 | |
| (440) 785-5990 | |
| Not Available |
| Full Name | Wild Lilac Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 24700 Center Ridge Rd Ste G50, Westlake, Ohio |
| Authorized Official Name and Position | Jennifer Gibbs (OWNER) |
| Authorized Official Contact | 4407855990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Lilac Counseling, Llc 8550 Greenbriar Dr Olmsted Twp OH 44138-1869 Ph: (440) 785-5990 | Wild Lilac Counseling, Llc 24700 Center Ridge Rd Ste G50 Westlake OH 44145-5671 Ph: (440) 785-5990 |
| NPI Number | 1427750652 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427750652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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