| Wildly Well Counseling And Empowerment | |
|
617 Allen Ave Ashtabula OH 44004-2535 | |
| (440) 855-5246 | |
| Not Available |
| Full Name | Wildly Well Counseling And Empowerment |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 617 Allen Ave, Ashtabula, Ohio |
| Authorized Official Name and Position | Sherri Lyn Sullivan (OWNER/THERAPIST) |
| Authorized Official Contact | 4408555246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildly Well Counseling And Empowerment Po Box 2824 Ashtabula OH 44005-2824 Ph: (440) 855-5246 | Wildly Well Counseling And Empowerment 617 Allen Ave Ashtabula OH 44004-2535 Ph: (440) 855-5246 |
| NPI Number | 1245061373 |
|---|---|
| Provider Enumeration Date | 08/10/2024 |
| Last Update Date | 08/10/2024 |
| Certification Date | 08/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245061373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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