Healthcare Provider Details

I. General information

NPI: 1538072731
Provider Name (Legal Business Name): KLAUS COUNSELING GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 N BROAD ST
KALIDA OH
45853-2037
US

IV. Provider business mailing address

605 N BROAD ST
KALIDA OH
45853-2037
US

V. Phone/Fax

Practice location:
  • Phone: 567-825-1214
  • Fax:
Mailing address:
  • Phone: 567-825-1214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. LORI KLAUS
Title or Position: OWNER/PROVIDER
Credential: LPCC-S
Phone: 567-825-1214