OPEN WATER COUNSELING AND RECOVERY, LLC


Address: 1725 Drexel Ave Nw, Warren, OH 44485-2121
Phone: 3305393200

OPEN WATER COUNSELING AND RECOVERY, LLC (NPI# 1932747888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932747888
Entity Type Organization
Organization Name OPEN WATER COUNSELING AND RECOVERY, LLC
Practice Address 1725 Drexel Ave Nw
Warren
OH 44485-2121
Mailing Address 5547 Mahoning Ave # 143
Austintown
OH 44515-2316
Practice Telephone 3305393200
Mailing Telephone 3305393200
Enumeration Date 2019-12-11
Last Update Date 2019-12-11
Authorized Official Name THOMAS DEWEY (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3305393200
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447877147 Open Water Counseling and Recovery, LLC Substance Abuse Rehabilitation Facility 1725 Drexel Ave Nw, Warren, OH 44485-2121 2020-06-29

Office Location

Street Address 1725 DREXEL AVE NW
City WARREN
State OH
Zip Code 44485-2121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447877147 Open Water Counseling and Recovery, LLC Substance Abuse Rehabilitation Facility 1725 Drexel Ave Nw, Warren, OH 44485-2121 2020-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780284752 Heather Lynn Ayres Technician 4046 North Leavitt Rd Nw, Warren, OH 44485 2020-10-29
1730576315 Jeanetta Chatmon Community Health Worker 1447 Kensington St. Nw, Warren, OH 44485 2015-04-21
1003201351 Laneka Oliver Home Health 1655 Denison Ave, Warren, OH 44485 2015-04-03
1437401155 Rhoda Darlene Killingworth Nurse's Aide 1510 Arthur Dr Nw, Warren, OH 44485 2012-10-04
1477844033 Lakshmi Padmanabhan Pharmacist 1560 Parkman Road, Rite Aid Pharmacy, Warren, OH 44485 2011-04-29
1225332422 Dashah Brendae Adams Licensed Practical Nurse 3270 Dunstan Dr. Nw, Warren, OH 44485 2011-01-03
1982854188 Deanna Lynne Nussle Registered Nurse 1480 Tod Ave, Warren, OH 44485 2008-09-24
1003093170 Kila E Mcghee Home Health 1108 Tod Ave Nw, Warren, OH 44485 2008-01-30
1639372816 Stella L Reese Home Health Aide 1890 Northfield Nw, Attn Karen Morgan, Warren, OH 44485 2007-06-06
1417016239 Laura Marie Buck Counselor Louis Stokes Cleveland Medical Center, 1406 Tod Ave Nw Warren Va Cboc, Warren, OH 44485 2006-12-07
Find all providers in zip 44485

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124627666 Kimberly Gordon Counselor 24 Sheehan Rd, Warren, CT 06777-1008 2020-10-24
1720638141 Jody Cohen Counselor 212 Melius Rd, Warren, CT 06754-1505 2019-09-17
1821554304 Tamara Dallaire Counselor 23 Denver Ave, Warren, RI 02885-1839 2019-02-20
1871082115 Thrive Counseling LLC Counselor 1705 Woodland St Ne, Warren, OH 44483-5348 2018-05-02
1689172827 Megan Elizabeth Cook Counselor 5 Mountain Blvd Ste 4, Warren, NJ 07059-2625 2018-01-23
1518405190 Tadarrio Lowery Counselor 414 Trumbull Ave Se, Warren, OH 44483-6339 2017-02-03
1396110904 R'taveous Merritt Counselor 27567 Parkview Blvd, Warren, MI 48092-2975 2015-12-08
1144602897 Alana Maria Nicolazzo Counselor 29203 Roan Dr, Warren, MI 48093-3566 2015-06-18
1346526753 Weston Martin Counselor 648 Main St, Warren, RI 02885-4387 2011-10-30
1295962355 Kimberly Beck Counselor 2000 East Market Street, Warren, OH 44483 2009-06-16
Find all providers in WARREN

Competitor

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City WARREN
Zip Code 44485

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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