Provider Demographics
NPI:1134261019
Name:PAULA S BOHL COUNSELING INC
Entity type:Organization
Organization Name:PAULA S BOHL COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BOHL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:513-779-2330
Mailing Address - Street 1:1990 WILMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-8901
Mailing Address - Country:US
Mailing Address - Phone:513-779-2330
Mailing Address - Fax:513-932-9705
Practice Address - Street 1:7577 CENTRAL PARKE BLVD STE 111
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040
Practice Address - Country:US
Practice Address - Phone:513-779-2330
Practice Address - Fax:513-932-9705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0257990Medicaid