Provider Demographics
NPI:1760131478
Name:SANCTUARY COUNSELING
Entity Type:Organization
Organization Name:SANCTUARY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHILOH
Authorized Official - Middle Name:
Authorized Official - Last Name:WEHR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:517-618-9533
Mailing Address - Street 1:104 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48813-1039
Mailing Address - Country:US
Mailing Address - Phone:517-618-9533
Mailing Address - Fax:
Practice Address - Street 1:1699 LANSING RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:MI
Practice Address - Zip Code:48813-8442
Practice Address - Country:US
Practice Address - Phone:517-618-9533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-21
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty