Provider Demographics
NPI:1811569734
Name:FAMILY COUNSELING & REHABILITATION CENTER OF OHIO
Entity Type:Organization
Organization Name:FAMILY COUNSELING & REHABILITATION CENTER OF OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:740-249-8061
Mailing Address - Street 1:PO BOX 462
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-0462
Mailing Address - Country:US
Mailing Address - Phone:740-249-8061
Mailing Address - Fax:
Practice Address - Street 1:107 LANCASTER ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-2734
Practice Address - Country:US
Practice Address - Phone:740-249-8061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)