Healthcare Provider Details

I. General information

NPI: 1972415594
Provider Name (Legal Business Name): ANESIS COUNSELING & DEVELOPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2775 ORCHARD RUN RD # 117
DAYTON OH
45449-2831
US

IV. Provider business mailing address

2775 ORCHARD RUN RD # 117
DAYTON OH
45449-2831
US

V. Phone/Fax

Practice location:
  • Phone: 937-637-3849
  • Fax:
Mailing address:
  • Phone: 937-637-3849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TYLER KESSLER
Title or Position: MANAGING MEMBER
Credential:
Phone: 937-637-3849