Provider Demographics
NPI:1205554698
Name:XENARIOS, EILEEN MICHELLE (LPCC)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:MICHELLE
Last Name:XENARIOS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:MS
Other - First Name:EILEEN
Other - Middle Name:MICHELLE
Other - Last Name:HITCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC
Mailing Address - Street 1:1704 EDGEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2851
Mailing Address - Country:US
Mailing Address - Phone:216-832-7414
Mailing Address - Fax:
Practice Address - Street 1:1704 EDGEFIELD RD
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2851
Practice Address - Country:US
Practice Address - Phone:216-832-7414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPMC5857101YP2500X
OHE.2404878101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional