Wildgrove Counseling

LBN: Wildgrove Counseling
Wildgrove Counseling is an health care organization with primary practice located at 34900 Chardon Rd Bldg 1 , Willoughby Hills OH 44094-9161. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Wildgrove Counseling can be contacted via phone (440) 739-3626, or through Blackston-Balogh, Amber via phone (419) 302-2575.

Contact Information

Primary practice address
34900 Chardon Rd Bldg 1 Willoughby Hills OH 44094-9161
Phone: (440) 739-3626
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blackston-Balogh, Amber LISW-S
Phone: (419) 302-2575

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1992587000
LBN Legal business name Wildgrove Counseling
DBA Doing business as
Authorized official Blackston-Balogh, Amber LISW-S
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2023
Last updated Oct 16th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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