Provider Demographics
NPI:1497187272
Name:NAMASTE COUNSELING & CONSULTING LLC
Entity Type:Organization
Organization Name:NAMASTE COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCCIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-503-8693
Mailing Address - Street 1:4773 CARROLL CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:OH
Mailing Address - Zip Code:43112-9428
Mailing Address - Country:US
Mailing Address - Phone:614-568-3244
Mailing Address - Fax:740-422-1548
Practice Address - Street 1:4773 CARROLL CEMETERY RD
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:OH
Practice Address - Zip Code:43112-9428
Practice Address - Country:US
Practice Address - Phone:614-568-3244
Practice Address - Fax:740-422-1548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3699261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center