| NPI | 1073659603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HELTZEL Billing Clerk 330-856-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC1900X Psychologist Counseling | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 103TC0700X Psychologist Clinical (Licence: OH 202) | |
| 1041C0700X Social Worker Clinical (Licence: OH I 0005770) | |
| 103TC1900X Psychologist Counseling (Licence: OH E 2309) | |
| 101YP2500X Counselor Professional (Licence: OH 0004100) | |
| 101YP2500X Counselor Professional (Licence: OH E4004) | |
| 101YP2500X Counselor Professional (Licence: OH E 500055) | |
| 1041C0700X Social Worker Clinical (Licence: OH I. 0005770) | |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-01-18 |