Provider Demographics
| NPI: | 1174934103 |
|---|---|
| Name: | ESPER COUNSELING, LLC |
| Entity type: | Organization |
| Organization Name: | ESPER COUNSELING, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | MICHELLE |
| Authorized Official - Middle Name: | ESPER |
| Authorized Official - Last Name: | BRANSKY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LISW-S |
| Authorized Official - Phone: | 440-449-1014 |
| Mailing Address - Street 1: | 5195 MAYFIELD RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LYNDHURST |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 44124-2464 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 440-449-1014 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 5195 MAYFIELD RD |
| Practice Address - Street 2: | |
| Practice Address - City: | LYNDHURST |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 44124-2464 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 440-449-1014 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2014-05-13 |
| Last Update Date: | 2015-01-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| OH | I0007496 | 1041C0700X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |