| Goris Counseling And Consulting, Llc | |
|
1102 Lord Fitzwalter Dr Miamisburg OH 45342-2090 | |
| (937) 657-9154 | |
| Not Available |
| Full Name | Goris Counseling And Consulting, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1102 Lord Fitzwalter Dr, Miamisburg, Ohio |
| Authorized Official Name and Position | John William Goris (CEO) |
| Authorized Official Contact | 9376579154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goris Counseling And Consulting, Llc 1102 Lord Fitzwalter Dr Miamisburg OH 45342-2090 Ph: (937) 657-9154 | Goris Counseling And Consulting, Llc 1102 Lord Fitzwalter Dr Miamisburg OH 45342-2090 Ph: (937) 657-9154 |
| NPI Number | 1265024459 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 02/09/2021 |
| Certification Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265024459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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