Healthcare Provider Details

I. General information

NPI: 1710898572
Provider Name (Legal Business Name): KARUNA HOUSE INTENSIVES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 W 3RD ST
PERRYSBURG OH
43551-1414
US

IV. Provider business mailing address

217 W 3RD ST
PERRYSBURG OH
43551-1414
US

V. Phone/Fax

Practice location:
  • Phone: 419-466-9891
  • Fax: 419-931-1999
Mailing address:
  • Phone: 419-466-9891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: GRETCHEN JEANNE VON SEGGERN
Title or Position: CO-OWNER
Credential: M.ED., LPCC
Phone: 419-466-9891