Healthcare Provider Details

I. General information

NPI: 1982520649
Provider Name (Legal Business Name): PHILLIP LAHUE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 AMY WAY
WADSWORTH OH
44281-9239
US

IV. Provider business mailing address

PO BOX 31
WADSWORTH OH
44282-0031
US

V. Phone/Fax

Practice location:
  • Phone: 330-238-8922
  • Fax:
Mailing address:
  • Phone: 330-238-8922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PHILLIP DUNCAN LAHUE
Title or Position: COUNSELOR
Credential: LPCC
Phone: 330-238-8922