Healthcare Provider Details

I. General information

NPI: 1619297835
Provider Name (Legal Business Name): NEW WAY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 06/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

788 LEXINGTON AVE
MANSFIELD OH
44907-1921
US

IV. Provider business mailing address

555 FOREST HILL RD
MANSFIELD OH
44907-1530
US

V. Phone/Fax

Practice location:
  • Phone: 419-756-2828
  • Fax:
Mailing address:
  • Phone: 419-566-4505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA M ROBY
Title or Position: OWNER
Credential: LPCC
Phone: 419-566-4505