Organization
EDEN COUNSELING CENTERS LLC MENTAL HEALTH
Active
Organization
EDEN COUNSELING CENTERS LLC MENTAL HEALTH
Active
Other names
Eden Counseling Centers LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM EARL JENNINGS (CEO)
(614) 398-3470
Entity
Organization
Contact information
Practice address
8794 BIG BEAR AVENUE, POWELL, OH 43065-9113
(614) 398-3470
Mailing address
8794 BIG BEAR AVENUE, POWELL, OH 43065-9113
(614) 398-3470
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
34010652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150666
—
OH
Enumeration date
05/17/2016
Last updated
05/17/2016
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