Provider Demographics
NPI:1255022778
Name:WITHIN REACH COUNSELING CENTER
Entity type:Organization
Organization Name:WITHIN REACH COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:567-227-9020
Mailing Address - Street 1:111 W WALTON ST
Mailing Address - Street 2:
Mailing Address - City:WILLARD
Mailing Address - State:OH
Mailing Address - Zip Code:44890-9418
Mailing Address - Country:US
Mailing Address - Phone:567-227-9020
Mailing Address - Fax:567-227-9021
Practice Address - Street 1:111 W WALTON ST
Practice Address - Street 2:
Practice Address - City:WILLARD
Practice Address - State:OH
Practice Address - Zip Code:44890-9418
Practice Address - Country:US
Practice Address - Phone:567-227-9020
Practice Address - Fax:567-227-9021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)