Provider Demographics
NPI:1184982647
Name:VERLENY, DENNIS (IMFT, LSW)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:
Last Name:VERLENY
Suffix:
Gender:M
Credentials:IMFT, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1062
Mailing Address - Street 2:2485 18TH STREET
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-0062
Mailing Address - Country:US
Mailing Address - Phone:330-907-1835
Mailing Address - Fax:330-217-1233
Practice Address - Street 1:2485 18TH ST
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-2009
Practice Address - Country:US
Practice Address - Phone:330-907-1835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF0500029106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2260226OtherVERLENY'S COMMUNITY BASED SERVICES LLC