Organization
2INSPIRE BALANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERITA J EILAND LPC (OWNER)
(330) 541-3207
Entity
Organization
Contact information
Practice address
9205 STATE ROUTE 43 STE 210, STREETSBORO, OH 44241-5367
(330) 968-5976
Mailing address
9453 VISTA CT, STREETSBORO, OH 44241-3601
(330) 541-3207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/22/2021
Last updated
08/02/2021
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