=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386325868
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FIRM FOUNDATION COUNSELING AND CONSULTING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/27/2023
-----------------------------------------------------
Last Update Date | 07/27/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3500 MASSILLON RD STE 270
-----------------------------------------------------
City | UNIONTOWN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44685-7790
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-353-9222
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 224 ROSE LANE ST SW
-----------------------------------------------------
City | NORTH CANTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44720-3566
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-224-0920
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JENNIFER KAY CRAMER
-----------------------------------------------------
Credential | LPCC
-----------------------------------------------------
Telephone | 330-353-9222
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------