Healthcare Provider Details

I. General information

NPI: 1760390157
Provider Name (Legal Business Name): ANEW VIBE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 6TH ST
WASHINGTON COURT HOUSE OH
43160-2515
US

IV. Provider business mailing address

320 6TH ST
WASHINGTON COURT HOUSE OH
43160-2515
US

V. Phone/Fax

Practice location:
  • Phone: 740-402-7053
  • Fax:
Mailing address:
  • Phone:
  • 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: MEGAN SOUTHWARD
Title or Position: OWNER
Credential: LPC
Phone: 740-402-7053