Organization
MID-OHIO PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BLAIR MA (EXECUTIVE DIRECTOR)
(740) 687-0042
Entity
Organization
Contact information
Practice address
106 STARRET ST STE 100, LANCASTER, OH 43130-3993
(740) 687-0042
(740) 687-6677
Mailing address
106 STARRET ST STE 100, LANCASTER, OH 43130-3993
(740) 687-0042
(740) 687-6677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2325844
—
OH
Enumeration date
04/12/2012
Last updated
09/27/2021
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