Individual
ELIZABETH MAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC-CS.162074
Contact information
Practice address
323 MARION PIKE STE 1, COAL GROVE, OH 45638-2958
(740) 237-4981
(877) 325-2816
Mailing address
323 MARION PIKE STE 1, COAL GROVE, OH 45638-2958
(740) 237-4981
(833) 837-4673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162074
OH
101YM0800X
Mental Health Counselor
QMHS
OH
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
APS.004782
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0261886
—
OH
Enumeration date
11/15/2017
Last updated
07/16/2025
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