Healthcare Provider Details

I. General information

NPI: 1881505568
Provider Name (Legal Business Name): EBB & FLOW COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 WASHINGTON AVE N FL 2
MINNEAPOLIS MN
55401-1619
US

IV. Provider business mailing address

17306 MADISON AVE
LAKEWOOD OH
44107-3533
US

V. Phone/Fax

Practice location:
  • Phone: 216-543-5232
  • Fax:
Mailing address:
  • Phone: 216-543-5232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RACHEL WAGGONER
Title or Position: OWNER
Credential: LPCC-S
Phone: 216-543-5232