Healthcare Provider Details

I. General information

NPI: 1548149099
Provider Name (Legal Business Name): WENGER COUNSELING AND CONSULTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27600 CHAGRIN BLVD STE 475
WOODMERE OH
44122-4421
US

IV. Provider business mailing address

27600 CHAGRIN BLVD STE 475
WOODMERE OH
44122-4421
US

V. Phone/Fax

Practice location:
  • Phone: 440-313-7090
  • Fax:
Mailing address:
  • Phone: 440-313-7090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BENJAMIN WENGER
Title or Position: CEO
Credential: MBA, MSSA, LISW-S
Phone: 440-313-7090