Provider Demographics
NPI:1689112401
Name:ROVAH, CHRISTINA R (LISW-S)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:R
Last Name:ROVAH
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:R
Other - Last Name:THORPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-S
Mailing Address - Street 1:7628 SLATE RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-8159
Mailing Address - Country:US
Mailing Address - Phone:614-537-7073
Mailing Address - Fax:614-705-6539
Practice Address - Street 1:7628 SLATE RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-8159
Practice Address - Country:US
Practice Address - Phone:614-537-7073
Practice Address - Fax:614-705-6539
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-01
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.4505481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0345877Medicaid