Organization
NOURISH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY BASS MA, LPCC-S (OWNER/THERAPIST)
(937) 418-1453
Entity
Organization
Contact information
Practice address
921 COLWICK DR, DAYTON, OH 45420-1701
(937) 418-1453
Mailing address
921 COLWICK DR, DAYTON, OH 45420-1701
(937) 418-1453
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/28/2023
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