| Miami Valley Counseling, Llc | |
|
12 W Wenger Rd Suite B-1 Englewood OH 45322-2754 | |
| (937) 836-4788 | |
| (937) 836-4799 |
| Full Name | Miami Valley Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12 W Wenger Rd, Englewood, Ohio |
| Authorized Official Name and Position | Susan Bainbridge (OWNER/OUTPATIENT THERAPIST) |
| Authorized Official Contact | 9378364788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Valley Counseling, Llc 12 W Wenger Rd Suite B-1 Englewood OH 45322-2754 Ph: (937) 836-4788 | Miami Valley Counseling, Llc 12 W Wenger Rd Suite B-1 Englewood OH 45322-2754 Ph: (937) 836-4788 |
| NPI Number | 1215204037 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 11/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215204037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E-3301 (Ohio) | Primary |
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