Organization
BEYOND CHANGE DACP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERISSE N PARRISH LISW (DIRECTOR)
(513) 388-7816
Entity
Organization
Contact information
Practice address
7092 MERLIN WAY, FAIRFIELD TOWNSHIP, OH 45011-8025
(513) 388-7816
Mailing address
7092 MERLIN WAY, FAIRFIELD TOWNSHIP, OH 45011-8025
(513) 388-7816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659917029
—
OH
Enumeration date
12/10/2021
Last updated
12/10/2021
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