Healthcare Provider Details

I. General information

NPI: 1457910051
Provider Name (Legal Business Name): DANBURY COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2019
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9451 E HARBOR RD
MARBLEHEAD OH
43440-1310
US

IV. Provider business mailing address

2174 METER RD
MARBLEHEAD OH
43440-9480
US

V. Phone/Fax

Practice location:
  • Phone: 440-665-5825
  • Fax:
Mailing address:
  • Phone: 440-665-5825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: APRIL WRIGHT
Title or Position: THERAPIST/OWNER
Credential: LPCC
Phone: 440-665-5825