MEDICARE: REFUGE COUNSELING, 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1508463597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFUGE COUNSELING, LLC

Provider Business Mailing Address
First Line	:	5338 MEADOW LANE CT
Second Line	:
City	:	SHEFFIELD VILLAGE
State	:	OH
Zip	:	44035-1469
Country	:	US
Telephone Number	:	440-654-2434
Fax Number	:	440-434-2011

Provider Business Practice Location Address
First Line	:	1060 CLAREMONT AVE STE 6
Second Line	:
City	:	ASHLAND
State	:	OH
Zip	:	44805-3715
Country	:	US
Telephone Number	:	419-922-9696
Fax Number	:	440-434-2011

Authorized Official
Title or Position	:	MANAGER
Name	:	NICOLE YOUNG
Credential	:
Telephone Number	:	440-654-3424

Provider Enumeration Date	:	10/03/2020
Last Update Date	:	06/24/2026

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