MEDICARE: WELLNESS COUNSELING SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	83868	OH
2	101YM0800X	Mental Health Counselor	0600508	OH
3	101YP2500X	Professional Counselor	1862	OH
4	1041C0700X	Clinical Social Worker	I8652	OH
5	1041C0700X	Clinical Social Worker	I7856	OH
6	101YM0800X	Mental Health Counselor	E-0007501	OH

General Provider Information

NPI Number	:	1326366014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS COUNSELING SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	102 S. SANDUSKY AVE
Second Line	:
City	:	UPPER SANDUSKY
State	:	OH
Zip	:	43351-1424
Country	:	US
Telephone Number	:	419-294-1212
Fax Number	:	419-294-6336

Provider Business Practice Location Address
First Line	:	102 S. SANDUSKY AVE.
Second Line	:
City	:	UPPER SANDUSKY
State	:	OH
Zip	:	43351-1424
Country	:	US
Telephone Number	:	419-294-1212
Fax Number	:	419-294-6336

Authorized Official
Title or Position	:	MEMBER
Name	:	MRS. ANNA ADAIR TRAUSCH
Credential	:	PCC
Telephone Number	:	419-294-1212

Provider Enumeration Date	:	05/05/2010
Last Update Date	:	03/04/2022

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