MEDICARE: WENDY MARIE BEMILLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	PMH 895	FL
2	101YP2500X	Professional Counselor	E 0004135	OH

General Provider Information

NPI Number	:	1205079498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY MARIE BEMILLER

Provider Business Mailing Address
First Line	:	4640 WESTERVILLE WOODS CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-9208
Country	:	US
Telephone Number	:	440-840-4530
Fax Number	:	614-885-0892

Provider Business Practice Location Address
First Line	:	1170 OLD HENDERSON RD STE 207
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3623
Country	:	US
Telephone Number	:	440-840-4530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2009
Last Update Date	:	10/05/2021

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Directions to “ WENDY MARIE BEMILLER ” Practice Location

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