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General NPI Number Information
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NPI Number | 1265918841
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Entity Type | Organization
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Legal Business Name | WILMER COUNSELING LLC
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 6797 N HIGH ST STE 306
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City | WORTHINGTON
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State | OH
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Zip | 43085-2588
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Country | US
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Telephone | 614-949-3741
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Fax |
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Provider Business Mailing Address
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Address Line | 6797 N HIGH ST STE 306
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City | WORTHINGTON
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State | OH
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Zip | 43085-2588
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Country | US
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Telephone | 614-949-3741
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MS. ELIZABETH WILMER
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Credential | LISW-S
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Telephone | 614-949-3741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | I.1450521
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License Number State | OH
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