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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