Provider Demographics
NPI:1083938633
Name:RGM PSYCHOTHERAPY RESOURCES INC
Entity Type:Organization
Organization Name:RGM PSYCHOTHERAPY RESOURCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:G
Authorized Official - Last Name:MESSER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LISW S
Authorized Official - Phone:937-298-6363
Mailing Address - Street 1:2555 S DIXIE DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45409-1539
Mailing Address - Country:US
Mailing Address - Phone:937-298-6363
Mailing Address - Fax:937-298-6399
Practice Address - Street 1:2555 S DIXIE DR
Practice Address - Street 2:SUITE 106
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45409-1539
Practice Address - Country:US
Practice Address - Phone:937-298-6363
Practice Address - Fax:937-298-6399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 0005424-S1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty