Organization
COLUMBIANA COUNTY MENTAL HEALTH CLINIC
Active
Other names
The Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER D SIKORSZKY (EXECUTIVE DIRECTOR)
(330) 424-7761
Entity
Organization
Contact information
Practice address
40722 STATE ROUTE 154, LISBON, OH 44432-8500
(330) 424-9573
(330) 424-0877
Mailing address
40722 STATE ROUTE 154, PO BOX 429, LISBON, OH 44432-8500
(330) 424-9573
(330) 424-0877
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
0118,2504
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0118,2504
OH
261QM0850X
Adult Mental Health Clinic/Center
0118,2504
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
0118,2504
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201696
—
OH
01
—
1051
COMMUNITY MEDICAID
OH
Enumeration date
03/28/2006
Last updated
02/07/2014
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