AUTHENTICALLY DIVERGENT COUNSELING LLC NPI 1659261220

NPI Information

  • NPI: 1659261220
  • Provider Name: AUTHENTICALLY DIVERGENT COUNSELING LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 6478 FIRESIDE DR
    CENTERVILLE, OH
    ZIP 45459
  • Phone: (937) 307-2823

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NPI Details

AUTHENTICALLY DIVERGENT COUNSELING LLC is a professional counselor in Centerville, OH. AUTHENTICALLY DIVERGENT COUNSELING LLC NPI is 1659261220. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6478 FIRESIDE DR
CENTERVILLE, OH
ZIP 45459-007
Phone: (937) 307-2823

The provider's authorized official is Megan Hannum .
The authorized official title is Owner and has the following contact phone number (937) 307-2823.

The enumeration date for this NPI number is 7/7/2025 and was last updated on 7/7/2025.

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
1101YP2500XCounselorProfessionalYes

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: 11/21/2025

NPI Synchronization or Removal

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