# EDEN COUNSELING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982073334
- **Authorized official:** MR. WILLIAM EARL JENNINGS (CEO)
- **Authorized official phone:** (614) 352-6993

## Contact information

- **Practice address:** 8794 BIG BEAR AVE, POWELL, OH 43065
- **Practice address phone:** (614) 352-6993
- **Mailing address:** 134 NORTHWOODS BLVD STE B1, COLUMBUS, OH 43235-4727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 34.010652 | OH | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 35.071312 | OH | — |
| 101YM0800X | Mental Health Counselor | 34.010652 | OH | — |
| 101YM0800X | Mental Health Counselor | 35.071312 | OH | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/16/2015
- **Last updated:** 12/10/2015