Provider Demographics
NPI:1689132573
Name:KNOBEL, WENDI MICHELE (LPC, ATR)
Entity Type:Individual
Prefix:
First Name:WENDI
Middle Name:MICHELE
Last Name:KNOBEL
Suffix:
Gender:F
Credentials:LPC, ATR
Other - Prefix:
Other - First Name:WENDI
Other - Middle Name:M
Other - Last Name:RANKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3481 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-2102
Mailing Address - Country:US
Mailing Address - Phone:330-705-1845
Mailing Address - Fax:
Practice Address - Street 1:4010 MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1423
Practice Address - Country:US
Practice Address - Phone:614-482-4800
Practice Address - Fax:614-876-6899
Is Sole Proprietor?:No
Enumeration Date:2019-03-09
Last Update Date:2019-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.0600607101YP2500X
OHC060067101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health