Provider Demographics
NPI:1205390515
Name:SOUTH DAYTON COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:SOUTH DAYTON COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:L
Authorized Official - Last Name:VOLTERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPCC-S, IMFT
Authorized Official - Phone:937-242-3298
Mailing Address - Street 1:925 CONGRESS PARK DR STE D
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4099
Mailing Address - Country:US
Mailing Address - Phone:937-242-3298
Mailing Address - Fax:937-528-2170
Practice Address - Street 1:925 CONGRESS PARK DR STE D
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-4099
Practice Address - Country:US
Practice Address - Phone:937-242-3298
Practice Address - Fax:937-528-2170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)