Organization
MIAMI VALLEY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHON M. WALTON LPCC (DIRECTOR/CLINICIAN)
(937) 369-0863
Entity
Organization
Contact information
Practice address
308 HADLEY AVE, OAKWOOD, OH 45419-2610
(937) 369-0863
Mailing address
308 HADLEY AVE, OAKWOOD, OH 45419-2610
(937) 369-0863
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/02/2022
Last updated
10/24/2023
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