Provider Demographics
NPI:1245838630
Name:MIDWEST COUNSELING CENTERS OF OHIO
Entity type:Organization
Organization Name:MIDWEST COUNSELING CENTERS OF OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:K
Authorized Official - Last Name:FLORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-813-4485
Mailing Address - Street 1:8940 KINGSRIDGE DR STE 106
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-1632
Mailing Address - Country:US
Mailing Address - Phone:937-813-4485
Mailing Address - Fax:937-813-4576
Practice Address - Street 1:8940 KINGSRIDGE DR STE 106
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-1632
Practice Address - Country:US
Practice Address - Phone:937-813-4485
Practice Address - Fax:937-813-4576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4466973OtherOHIO STATE CHARTER OR REGISTRATION NUMBER