Organization
SOUTHWOODS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ANN AUGUSTINE (OFFICE MANAGER)
(330) 953-1964
Entity
Organization
Contact information
Practice address
833 BOARDMAN CANFIELD RD STE 105, BOARDMAN, OH 44512-4236
(330) 953-1964
(877) 253-7181
Mailing address
908 SAHARA TRL, POLAND, OH 44514-3667
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/24/2010
Last updated
05/02/2024
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