Provider Demographics
NPI:1609382183
Name:JEN YENSEL LLC
Entity Type:Organization
Organization Name:JEN YENSEL LLC
Other - Org Name:TY & ASSOCIATES COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:YENSEL
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPCC-S
Authorized Official - Phone:216-264-6337
Mailing Address - Street 1:5724 CARANOR RD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-4209
Mailing Address - Country:US
Mailing Address - Phone:330-352-8158
Mailing Address - Fax:
Practice Address - Street 1:2101 FRONT ST STE 215
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-3251
Practice Address - Country:US
Practice Address - Phone:216-264-6337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-20
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty