Provider Demographics
NPI:1326445735
Name:SYMMETRY WELLNESS LLC
Entity Type:Organization
Organization Name:SYMMETRY WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARIN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BURR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LICDC-CS
Authorized Official - Phone:937-925-2182
Mailing Address - Street 1:2516 ROSS LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-8614
Mailing Address - Country:US
Mailing Address - Phone:937-925-2180
Mailing Address - Fax:855-925-2181
Practice Address - Street 1:2516 ROSS LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45502-8614
Practice Address - Country:US
Practice Address - Phone:937-925-2180
Practice Address - Fax:855-925-2181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.006467101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty