Provider Demographics
NPI:1952794604
Name:HEALING STRIDES COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:HEALING STRIDES COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LORALEA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:330-256-0337
Mailing Address - Street 1:3862 WILLOW BROOK DR
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-8260
Mailing Address - Country:US
Mailing Address - Phone:330-256-0337
Mailing Address - Fax:
Practice Address - Street 1:135 E ERIE ST
Practice Address - Street 2:SUITE 304
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-3513
Practice Address - Country:US
Practice Address - Phone:330-256-0337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1000353101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty