Provider Demographics
NPI:1063788008
Name:ESPERO WELLNESS & COUNSELING CENTER, LTD.
Entity type:Organization
Organization Name:ESPERO WELLNESS & COUNSELING CENTER, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED INDEPENDENT SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRANWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:260-243-0655
Mailing Address - Street 1:P O BOX 1317
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45839-1317
Mailing Address - Country:US
Mailing Address - Phone:419-427-5261
Mailing Address - Fax:419-427-5262
Practice Address - Street 1:500 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3544
Practice Address - Country:US
Practice Address - Phone:419-427-5261
Practice Address - Fax:419-427-5262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1.1200272101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty