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Organization
SELENITE COUNSELING SERVICES, LLC
Active
Organization
SELENITE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON BISHOP LISW (THERAPIST)
(419) 601-6338
Entity
Organization
Contact information
Practice address
565 SHASTA DR, LANCASTER, OH 43130-2273
(419) 601-6338
Mailing address
565 SHASTA DR, LANCASTER, OH 43130-2273
(419) 601-6338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
09/10/2025
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