Healthcare Provider Details

I. General information

NPI: 1235798968
Provider Name (Legal Business Name): JOSHUA MINNICH LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 CENTERVILLE BUSINESS PKWY STE 310
DAYTON OH
45459-2691
US

IV. Provider business mailing address

6601 CENTERVILLE BUSINESS PKWY
DAYTON OH
45459-2691
US

V. Phone/Fax

Practice location:
  • Phone: 937-637-6735
  • Fax: 937-963-0961
Mailing address:
  • Phone: 937-739-6198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1901369
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.1300579
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: