Provider Demographics
NPI:1346651965
Name:ESLINGER, DENISE (LPCC-S, LSW, NCSP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:ESLINGER
Suffix:
Gender:F
Credentials:LPCC-S, LSW, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10312 ELLIMAN RD
Mailing Address - Street 2:
Mailing Address - City:MANTUA
Mailing Address - State:OH
Mailing Address - Zip Code:44255
Mailing Address - Country:US
Mailing Address - Phone:440-476-6636
Mailing Address - Fax:440-748-7016
Practice Address - Street 1:10312 ELLIMAN RD
Practice Address - Street 2:
Practice Address - City:MANTUA
Practice Address - State:OH
Practice Address - Zip Code:44255-9482
Practice Address - Country:US
Practice Address - Phone:440-476-6636
Practice Address - Fax:440-748-7016
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002637-SUPV101YP2500X
103TS0200X
OHS-001713104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No104100000XBehavioral Health & Social Service ProvidersSocial Worker