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Organization
MIAMI VALLEY COUNSELING & HYPNOSIS CENTER
Active
Organization
MIAMI VALLEY COUNSELING & HYPNOSIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON A DESORCY-MARCOTTE (PRESIDENT)
(937) 426-5225
Entity
Organization
Contact information
Practice address
1255 N FAIRFIELD RD, BEAVERCREEK, OH 45432-2668
(937) 426-5225
(937) 426-7526
Mailing address
1255 N FAIRFIELD RD, BEAVERCREEK, OH 45432-2668
(937) 426-5225
(937) 426-7526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E-0000123
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010860
ANTHEM BCBS PIN
OH
01
—
248755000
MAGELLAN PIN
OH
01
—
281384690
TRICARE
OH
01
—
281384690-001
MEDICAL MUTUAL PIN
OH
Enumeration date
11/29/2005
Last updated
12/23/2024
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