MEDICARE: NAMASTE COUNSELING & CONSULTATION, 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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1750198206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAMASTE COUNSELING & CONSULTATION, LLC

Provider Business Mailing Address
First Line	:	3048 COLUMBUS-LANCASTER RD NW
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-8125
Country	:	US
Telephone Number	:	740-652-5652
Fax Number	:	740-422-1548

Provider Business Practice Location Address
First Line	:	3048 COLUMBUS-LANCASTER RD NW
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-8125
Country	:	US
Telephone Number	:	740-652-5652
Fax Number	:	740-422-1548

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID R DAGG-MURRY
Credential	:	LPCC-S, LICDC-CS
Telephone Number	:	740-652-5652

Provider Enumeration Date	:	12/17/2024
Last Update Date	:	08/21/2025

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