=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477186872
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FIND REST COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/14/2020
-----------------------------------------------------
Last Update Date | 02/14/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1920 CHURCHILL RD STE 200
-----------------------------------------------------
City | GIRARD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44420-2484
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-932-4002
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 602 DORCHESTER DR
-----------------------------------------------------
City | HUBBARD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44425-2607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-534-1764
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL DIRECTOR/THERAPIST
-----------------------------------------------------
Name | MRS. KIMBERLY MARIE KUNELI
-----------------------------------------------------
Credential | LPCC
-----------------------------------------------------
Telephone | 330-506-3611
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------