Healthcare Provider Details

I. General information

NPI: 1114286465
Provider Name (Legal Business Name): RESOURCES OF ENDURING HOPE OUTREACH PROGRAMS AND EDUCATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2012
Last Update Date: 06/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1443 STEINER AVE
DAYTON OH
45417-3813
US

IV. Provider business mailing address

1443 STEINER AVE
DAYTON OH
45417-3813
US

V. Phone/Fax

Practice location:
  • Phone: 937-754-0528
  • Fax:
Mailing address:
  • Phone: 937-754-0528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateOH
# 7
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. RONALD LYNN DEBLANC
Title or Position: EXECUTIVE DIRECTOR
Credential: MA-PSY, LICDC, SWA
Phone: 937-754-0528