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NPI Code Detail

MEDICARE: AURIE FAE SOLANUM LPC

MEDICARE: AURIE FAE SOLANUM LPC
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
1101YM0800XMental Health CounselorC.2304803OH

General Provider Information

NPI Number : 1548974835
Entity Type Code : Individual
Provider Name (Legal Business Name) : AURIE FAE SOLANUM LPC
Provider Business Mailing Address
First Line : 201 CLOVERLEAF CIR
Second Line :
City : ENGLEWOOD
State : OH
Zip : 45322-1860
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3095 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1983
Country : US
Telephone Number : 937-293-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2023
Last Update Date : 06/05/2026

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Directions to “ AURIE FAE SOLANUM LPC” Practice Location

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