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Organization
PSYCHOTHERAPY & ADDICTION SRVCS., INC.
Active
Organization
PSYCHOTHERAPY & ADDICTION SRVCS., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY SOWDER LPCC, CCDC, III E (OWNER)
(937) 435-5200
Entity
Organization
Contact information
Practice address
7086 CORPORATE WAY, CENTERVILLE, OH 45459-4224
(937) 435-5200
(937) 435-5200
Mailing address
7086 CORPORATE WAY, CENTERVILLE, OH 45459-4224
(937) 435-5200
(937) 435-5200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E0000363
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000016169
ANTHEM
OH
01
—
0000073621
MANAGED HEALTH NETWORK
OH
01
—
180942
VALUE OPTIONS
OH
01
—
520502648000
MEDICAL MUTUAL OF OH
OH
01
—
7379058
AETNA
OH
Enumeration date
12/21/2005
Last updated
08/22/2020
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