Individual provider · NPI-1

Serita J Eiland, LPC-MA

Counselor, Mental Health · Streetsboro, OH

NPI number1508332206
StatusActive
Last updated in NPPESJul 22, 2021

Details

NPI
1508332206
Entity type
Individual (NPI-1)
Name
Serita J Eiland
Credential
LPC-MA
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 19, 2018
Certification date
Jul 22, 2021
Last updated
Jul 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthC.2002954OHYes
101YP2500X Counselor, Professionalc.2002954OH
251S00000X Community/Behavioral HealthC.1801334-TRNEOH

Practice location

9205 State Route 43 Ste 210
Streetsboro, OH 44241-5367

Phone 330-968-5976

Mailing address

9453 Vista Ct
Streetsboro, OH 44241-3601

Phone 330-541-3207

Other practice locations

3094 W Market St Ste 105
Fairlawn, OH 44333-3617

Phone 440-260-8300

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