Organization
SHAWNEE COUNSELING CENTER LLC
Active
Parent organization
SHAWNEE COUNSELING CENTER LLC
Other names
Shawnee Counseling Center LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAWNEE COUNSELING CENTER LLC
Authorized official
HOLLY GAIL FANSLER CPC, CPM (CREDENTIALING MANAGER)
(863) 473-2083
Entity
Organization
Contact information
Practice address
519 COURT ST, PORTSMOUTH, OH 45662-3933
(740) 876-4370
(740) 529-1818
Mailing address
519 COURT ST, PORTSMOUTH, OH 45662-3933
(740) 876-4370
(740) 529-1818
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0353310
—
OH
Enumeration date
02/22/2021
Last updated
07/24/2024
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