Healthcare Provider Details

I. General information

NPI: 1124979844
Provider Name (Legal Business Name): INNER PEACE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 MEDINA RD STE 112
MEDINA OH
44256-5394
US

IV. Provider business mailing address

2425 MEDINA RD
MEDINA OH
44256-5394
US

V. Phone/Fax

Practice location:
  • Phone: 216-527-5731
  • Fax:
Mailing address:
  • Phone: 216-527-5731
  • 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: MICHELLE M KOEWLER
Title or Position: OWNER/COUNSELOR
Credential: LPCC
Phone: 216-527-5731