Provider Demographics
NPI:1164091765
Name:FROM THE ASHES COUNSELING
Entity Type:Organization
Organization Name:FROM THE ASHES COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:R
Authorized Official - Last Name:TOEREK
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:330-649-2220
Mailing Address - Street 1:44 2ND ST SE
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:44615-1409
Mailing Address - Country:US
Mailing Address - Phone:330-649-2220
Mailing Address - Fax:
Practice Address - Street 1:44 2ND ST SE
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:44615-1409
Practice Address - Country:US
Practice Address - Phone:330-649-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0266937Medicaid