Organization
MIDWEST COUNSELING CENTERS OF OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK K FLORO (CHIEF FINANCIAL OFFICER)
(937) 813-4485
Entity
Organization
Contact information
Practice address
8940 KINGSRIDGE DR STE 106, DAYTON, OH 45458-1632
(937) 813-4485
(937) 813-4576
Mailing address
8940 KINGSRIDGE DR STE 106, DAYTON, OH 45458-1632
(937) 813-4485
(937) 813-4576
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4466973
OHIO STATE CHARTER OR REGISTRATION NUMBER
OH
Enumeration date
10/16/2020
Last updated
05/09/2025
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