Provider Demographics
NPI:1073634358
Name:POHLY PROFESSIONAL COUNSELING AND CONSULTING, INC.
Entity Type:Organization
Organization Name:POHLY PROFESSIONAL COUNSELING AND CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:POHLY
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPCC, LSW
Authorized Official - Phone:937-434-6217
Mailing Address - Street 1:1948 E WHIPP RD
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45440-4240
Mailing Address - Country:US
Mailing Address - Phone:937-434-6217
Mailing Address - Fax:937-434-6375
Practice Address - Street 1:1948 E WHIPP RD
Practice Address - Street 2:SUITE A-1
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45440-4240
Practice Address - Country:US
Practice Address - Phone:937-434-6217
Practice Address - Fax:937-434-6375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0002328101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty