Healthcare Provider Details

I. General information

NPI: 1588058366
Provider Name (Legal Business Name): GEBHART COUNSELING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2015
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 HALLMARK DR
EATON OH
45320-8648
US

IV. Provider business mailing address

504 HALLMARK DR
EATON OH
45320-8648
US

V. Phone/Fax

Practice location:
  • Phone: 937-456-2805
  • Fax:
Mailing address:
  • Phone: 937-456-2805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI10086-S
License Number StateOH

VIII. Authorized Official

Name: MICHELLE L GEBHART
Title or Position: OWNER/MENTAL HEALTH THERAPIST
Credential: LISW-S
Phone: 937-456-2805