Provider Demographics
NPI:1568026300
Name:COUPLES, CHILDREN, FAMILY, AND INDIVIDUAL COUNSELING, LLC
Entity Type:Organization
Organization Name:COUPLES, CHILDREN, FAMILY, AND INDIVIDUAL COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, LMFT
Authorized Official - Phone:440-839-2200
Mailing Address - Street 1:59 E. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:WAKEMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44889
Mailing Address - Country:US
Mailing Address - Phone:440-839-2200
Mailing Address - Fax:888-408-7306
Practice Address - Street 1:59 E. MAIN ST.
Practice Address - Street 2:
Practice Address - City:WAKEMAN
Practice Address - State:OH
Practice Address - Zip Code:44889
Practice Address - Country:US
Practice Address - Phone:440-839-2200
Practice Address - Fax:888-408-7306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty