Organization
EDEN SHORES COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DOLAK LPC (OWNER/COUNSELOR)
(330) 284-6052
Entity
Organization
Contact information
Practice address
4074 BROADWAY AVE NE, LOUISVILLE, OH 44641-9311
(330) 205-4021
Mailing address
4074 BROADWAY AVE NE, LOUISVILLE, OH 44641-9311
(330) 205-4021
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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