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Organization
ON DEMAND COUNSELING LLC
Active
Organization
ON DEMAND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS IVANY (CEO)
(330) 270-3660
Entity
Organization
Contact information
Practice address
5760 PATRIOT BLVD STE C, AUSTINTOWN, OH 44515-1170
(330) 270-8610
(330) 270-2690
Mailing address
5760 PATRIOT BLVD STE D, AUSTINTOWN, OH 44515-1170
(330) 270-8610
(330) 270-2690
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246535
—
OH
Enumeration date
11/10/2016
Last updated
06/02/2020
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