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Organization

ATARAXIA WELLNESS PROJECT SOUTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIERSTIN LILES LISWS (OWNER)
(937) 935-9235
Entity
Organization

Contact information

Practice address
25371 STORMS RD, WEST MANSFIELD, OH 43358
(937) 935-9235
Mailing address
112 E PATTERSON AVE, PMB #208, BELLEFONTAINE, OH 43311

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
11/07/2025
Last updated
11/07/2025
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