Provider Demographics
NPI:1861023459
Name:R F RICH-FIDLER, LLC
Entity Type:Organization
Organization Name:R F RICH-FIDLER, LLC
Other - Org Name:FAITHFUL REMNANT COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:FAITH
Authorized Official - Last Name:RICH-FIDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC, LICDC
Authorized Official - Phone:740-603-7756
Mailing Address - Street 1:30811 LAKE LOGAN RD
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:OH
Mailing Address - Zip Code:43138-9546
Mailing Address - Country:US
Mailing Address - Phone:740-603-7756
Mailing Address - Fax:740-777-4014
Practice Address - Street 1:30811 LAKE LOGAN RD
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:OH
Practice Address - Zip Code:43138-9546
Practice Address - Country:US
Practice Address - Phone:740-603-6165
Practice Address - Fax:740-777-4014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase ManagementGroup - Single Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder