=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609424126
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WINSTON CONSULTING & COUNSELING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/28/2019
-----------------------------------------------------
Last Update Date | 12/22/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 26777 LORAIN RD STE 310
-----------------------------------------------------
City | NORTH OLMSTED
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44070-3228
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-389-4098
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 173 PRENTISS ST
-----------------------------------------------------
City | MUNROE FALLS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44262-1546
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-221-1155
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. DOUGLAS MICHAEL WINSTON
-----------------------------------------------------
Credential | LPCC
-----------------------------------------------------
Telephone | 330-221-1155
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM1300X
-----------------------------------------------------
Taxonomy Name | Multi-Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------