Healthcare Provider Details

I. General information

NPI: 1699098418
Provider Name (Legal Business Name): ADVANCED COUNSELING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2010
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5204 MAHONING AVE. SUITE 105
AUSTINTOWN OH
44515-1808
US

IV. Provider business mailing address

5204 MAHONING AVE STE 105
YOUNGSTOWN OH
44515-1808
US

V. Phone/Fax

Practice location:
  • Phone: 330-797-0036
  • Fax: 330-797-0034
Mailing address:
  • Phone: 330-797-0036
  • Fax: 330-797-0034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE0002598
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberE0002598
License Number StateOH

VIII. Authorized Official

Name: DR. JOSEPH THOMAS MARZANO
Title or Position: OWNER/ADMINISTRATOR
Credential: PHD
Phone: 330-501-6924