Gloria M Esquivel-Lynch LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GLORIA M ESQUIVEL-LYNCH LLC

Doing business as

Luna Wellness LLC

Practice address

404 Hamilton Rd Ste 4
Wapakoneta, OH 45895-1156

Phone

(419) 739-7002

NPI assigned

May 1, 2020

Last updated

May 30, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gloria Marie Esquivel-Lynch, LISW-SNPI 1922185206

Title

Owner/Clinical Social Worker

Phone

(419) 739-7002

Specialties & licenses 1

Addresses

Other names 1

• Luna Wellness LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria Marie Esquivel-Lynch, LISW-S

  • Social Worker
  • Wapakoneta, OH
  • NPI 1922185206
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622332800000",
    "number": "1518588441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458950062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HAMILTON RD STE 4",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951156",
            "telephone_number": "419-739-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA M ESQUIVEL-LYNCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A",
        "authorized_official_last_name": "ESQUIVEL-LYNCH",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "419-739-7002",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luna Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Wapakoneta, OH
• Providers in Wapakoneta, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; 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.