SERITA J EILAND LPC-MA NPI 1508332206

NPI Information

NPI: 1508332206
Provider Name: SERITA J EILAND, LPC-MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
9205 STATE ROUTE 43 STE 210
STREETSBORO, OH
ZIP 44241
Phone: (330) 968-5976
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Serita J Eiland, LPC-MA is a mental health counselor in Streetsboro, OH. Serita J Eiland, LPC-MA NPI is 1508332206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9205 STATE ROUTE 43 STE 210
STREETSBORO, OH
ZIP 44241-367
Phone: (330) 968-5976

The enumeration date for this NPI number is 10/19/2018 and was last updated on 7/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	C.2002954	OHIO	Yes
2	101YP2500X	Counselor	Professional	C.2002954	OHIO	No
3	251S00000X	Community/Behavioral Health		C.1801334-TRNE	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0320375	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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