Organization
COMMUNIKARE BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF KOLACZKOWSKI MSW, LISW-S (OWNER)
(937) 223-1781
Entity
Organization
Contact information
Practice address
1320 WOODMAN DR, DAYTON, OH 45432-3497
(937) 223-1781
(937) 424-0279
Mailing address
1320 WOODMAN DR, DAYTON, OH 45432-3497
(937) 223-1781
(937) 424-0279
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
221700000X
Art Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0337777
—
OH
Enumeration date
02/20/2019
Last updated
09/09/2024
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