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CHARIS COUNSELING AND PSYCHOLOGICAL SERVICES LLC NPI 1730168097


NPI Information

NPI: 1730168097
Provider Name: CHARIS COUNSELING AND PSYCHOLOGICAL SERVICES LLC
Classification: Psychologist - 103TA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
123 S BROAD ST
STE 234
LANCASTER, OH
ZIP 43130
Phone: (740) 654-8716
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CHARIS COUNSELING AND PSYCHOLOGICAL SERVICES LLC is an addiction (substance use disorder) psychologist in Lancaster, OH. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. CHARIS COUNSELING AND PSYCHOLOGICAL SERVICES LLC NPI is 1730168097. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

123 S BROAD ST
STE 234
LANCASTER, OH
ZIP 43130
Phone: (740) 654-8716
Fax: (740) 654-8716

The provider's authorized official is Stephanie L Miller .
The authorized official title is Owner - Psychologist and has the following contact phone number (740) 654-8716.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)3138OHIOYes
2103TC0700XPsychologistClinical3138OHIOX
3103TC1900XPsychologistCounseling3138OHIOX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000330495OTHEROHIOINS
26197702OTHEROHIOINS
311604000OTHEROHIOINS
456546699000OTHEROHIOBWC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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