Healthcare Provider Details

I. General information

NPI: 1366907412
Provider Name (Legal Business Name): EKING COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2019
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3659 GREEN RD STE 322-19
BEACHWOOD OH
44122-5727
US

IV. Provider business mailing address

PO BOX 391652
SOLON OH
44139-8652
US

V. Phone/Fax

Practice location:
  • Phone: 216-282-3733
  • Fax:
Mailing address:
  • Phone: 216-282-3733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERIC L KING SR.
Title or Position: OWNER
Credential: MA, MED, LPCC
Phone: 216-282-3733