Provider Demographics
NPI:1861722704
Name:BADEN COUNSELING SERVICES, L.L.C.
Entity type:Organization
Organization Name:BADEN COUNSELING SERVICES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:BADEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:330-418-1777
Mailing Address - Street 1:140 GRAND TRUNK AVE SW
Mailing Address - Street 2:UNIT G
Mailing Address - City:HARTVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44632-8547
Mailing Address - Country:US
Mailing Address - Phone:330-418-1777
Mailing Address - Fax:330-966-1550
Practice Address - Street 1:140 GRAND TRUNK AVE SW
Practice Address - Street 2:UNIT G
Practice Address - City:HARTVILLE
Practice Address - State:OH
Practice Address - Zip Code:44632-8547
Practice Address - Country:US
Practice Address - Phone:330-418-1777
Practice Address - Fax:330-966-1550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-27
Last Update Date:2009-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0003620101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty