Organization
OVERCOMERS COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMALA K DISNEY LISW (SOLE MBR)
(937) 902-3220
Entity
Organization
Contact information
Practice address
30 N BREIEL BLVD, MIDDLETOWN, OH 45042-3804
(937) 701-7704
Mailing address
2713 CENTRAL AVE, MIDDLETOWN, OH 45044-4851
(937) 902-3220
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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