| Selenite Counseling Services, Llc | |
|
565 Shasta Dr Lancaster OH 43130-2273 | |
| (419) 601-6338 | |
| Not Available |
| Full Name | Selenite Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 565 Shasta Dr, Lancaster, Ohio |
| Authorized Official Name and Position | Madison Bishop (THERAPIST) |
| Authorized Official Contact | 4196016338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Selenite Counseling Services, Llc 565 Shasta Dr Lancaster OH 43130-2273 Ph: (419) 601-6338 | Selenite Counseling Services, Llc 565 Shasta Dr Lancaster OH 43130-2273 Ph: (419) 601-6338 |
| NPI Number | 1144082207 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 03/03/2025 |
| Certification Date | 03/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144082207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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