Healthcare Provider Details

I. General information

NPI: 1558058123
Provider Name (Legal Business Name): JMR COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 06/29/2023
Certification Date: 06/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1714 BOARDMAN POLAND RD STE 10
YOUNGSTOWN OH
44514-1957
US

IV. Provider business mailing address

648 WESTFIELD DR
YOUNGSTOWN OH
44512-6448
US

V. Phone/Fax

Practice location:
  • Phone: 724-272-7832
  • Fax:
Mailing address:
  • Phone: 724-272-7832
  • 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: MR. JOHN RANIERI JR.
Title or Position: OWNER, CLINICIAN
Credential: MED, LPCC-S
Phone: 724-272-7832