# BUCKEYE COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAIRFIELD COUNSELING CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447519327
- **Legal business name:** FAIRFIELD COUNSELING CENTER
- **Authorized official:** MRS. ELIZABETH RENAE CHALFANT AA/CDCA (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (740) 689-1890

## Contact information

- **Practice address:** 117 W MAIN ST, SUITE 107, LANCASTER, OH 43130
- **Practice address phone:** (740) 689-1890
- **Practice address fax:** (740) 689-0451
- **Mailing address:** 117 W MAIN ST, SUITE 107, LANCASTER, OH 43130
- **Mailing address phone:** (740) 689-1890
- **Mailing address fax:** (740) 689-0451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | S.0018342 | OH | — |
| 251S00000X | Community/Behavioral Health Agency | S.0018342 | OH | — |
| 252Y00000X | Early Intervention Provider Agency | S.0018342 | OH | Yes |

## Other

- **Enumeration date:** 05/11/2012
- **Last updated:** 01/08/2013