Organization
ATARAXIA WELLNESS PROJECT SOUTH LLC
Active
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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