Provider Demographics
NPI:1144058298
Name:WAHLIN, FLEISHIA ADELIA (QMHS)
Entity type:Individual
Prefix:
First Name:FLEISHIA
Middle Name:ADELIA
Last Name:WAHLIN
Suffix:
Gender:F
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ANAZAO COMMUNITY PARTNERS
Mailing Address - Street 2:2587 BACK ORRVILLE RD
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-9523
Mailing Address - Country:US
Mailing Address - Phone:330-264-9597
Mailing Address - Fax:
Practice Address - Street 1:135 MERCHANT ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:OH
Practice Address - Zip Code:45246-3735
Practice Address - Country:US
Practice Address - Phone:513-771-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator