Provider Demographics
NPI:1548805781
Name:GEROPSYCH COUNSELING, LTD
Entity Type:Organization
Organization Name:GEROPSYCH COUNSELING, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:HILFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-437-6779
Mailing Address - Street 1:151 ORCHARDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-5836
Mailing Address - Country:US
Mailing Address - Phone:855-437-6779
Mailing Address - Fax:855-437-6395
Practice Address - Street 1:151 ORCHARDVIEW RD
Practice Address - Street 2:
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-5836
Practice Address - Country:US
Practice Address - Phone:855-437-6779
Practice Address - Fax:855-437-6395
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GEROPSYCH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty