Provider Demographics
NPI:1851506778
Name:SEASONS OF LIFE COUNSELING INC
Entity Type:Organization
Organization Name:SEASONS OF LIFE COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNELLE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:GARN
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPCC
Authorized Official - Phone:419-621-8773
Mailing Address - Street 1:4444 GALLOWAY ROAD
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870
Mailing Address - Country:US
Mailing Address - Phone:419-621-8773
Mailing Address - Fax:419-621-8775
Practice Address - Street 1:4444 GALLOWAY ROAD
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870
Practice Address - Country:US
Practice Address - Phone:419-621-8773
Practice Address - Fax:419-621-8775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE003855101YM0800X
OHI00046671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty