Organization
LIFESSENTIALS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NETTIE L PUTNAM (ADMINISTRATOR/CREDENTIALING)
(937) 222-5496
Entity
Organization
Contact information
Practice address
131 N LUDLOW ST, SUITE 1212, DAYTON, OH 45402-1116
(937) 222-5496
(937) 222-5497
Mailing address
131 N LUDLOW ST, SUITE 1212, DAYTON, OH 45402-1116
(937) 222-5496
(937) 222-5497
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0675
OH
Other
Enumeration date
10/30/2009
Last updated
09/08/2011
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