Organization
CHARISMATA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA RENEE GOSSETT (OFFICE MANAGER)
(614) 316-2864
Entity
Organization
Contact information
Practice address
2670 N COLUMBUS ST STE 0, LANCASTER, OH 43130-8408
(740) 415-7371
(740) 785-5045
Mailing address
2670 N COLUMBUS ST, LANCASTER, OH 43130-8408
(740) 415-7371
(740) 785-5045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020
—
OH
Enumeration date
10/16/2020
Last updated
10/18/2020
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