Provider Demographics
NPI:1962893479
Name:KLS COUNSELING LLC
Entity type:Organization
Organization Name:KLS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:216-534-9601
Mailing Address - Street 1:1644 BOBWHITE TRL
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-2509
Mailing Address - Country:US
Mailing Address - Phone:440-461-1255
Mailing Address - Fax:
Practice Address - Street 1:5564 WILSON MILLS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-3265
Practice Address - Country:US
Practice Address - Phone:440-461-1255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1000628101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty