Counseling Center for Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E-0002118 Issued in OH

Legal business name

COUNSELING CENTER FOR WELLNESS LLC

Practice address

222 S West St
Lima, OH 45801-4842

Phone

(419) 222-7180

Fax

(419) 228-8439

NPI assigned

Jun 22, 2006

Organization subpart

No

Name

Dale R Agnew, MSW, LISW-S, LCDC-II

Title

Owner

Phone

(419) 222-7180

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2011.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1376589812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014842",
            "telephone_number": "419-222-7180",
            "fax_number": "419-228-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014842",
            "telephone_number": "419-222-7180",
            "fax_number": "419-228-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER FOR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "AGNEW",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-222-7180",
        "authorized_official_credential": "MSW, LISW-S, LCDC-II"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-0002118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Keith Cotrell, CRNA
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• Jenna Covey

• All providers in Lima, OH
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.