Organization
OHIO THERAPY CENTER AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEARISTEN GAINES PSYD (OWNER)
(330) 540-3440
Entity
Organization
Contact information
Practice address
860 BOARDMAN CANFIELD RD STE 203, YOUNGSTOWN, OH 44512-4235
(330) 779-1333
Mailing address
860 BOARDMAN CANFIELD RD STE 203, YOUNGSTOWN, OH 44512-4235
(330) 779-1333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
11/19/2020
Last updated
02/21/2023
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