Healthcare Provider Details

I. General information

NPI: 1316462989
Provider Name (Legal Business Name): KELSEY WARGO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2017
Last Update Date: 06/28/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8080 BECKETT CENTER DR STE 314
WEST CHESTER OH
45069-5041
US

IV. Provider business mailing address

8080 BECKETT CENTER DR STE 314
WEST CHESTER OH
45069-5041
US

V. Phone/Fax

Practice location:
  • Phone: 513-273-0804
  • Fax:
Mailing address:
  • Phone: 513-273-0804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1800754-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: