Healthcare Provider Details

I. General information

NPI: 1194196006
Provider Name (Legal Business Name): EMILY GELHAUS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY WORK LPCC-S

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 JACKSON ST
GREENVILLE OH
45331-1395
US

IV. Provider business mailing address

5735 MEEKER RD
GREENVILLE OH
45331-1186
US

V. Phone/Fax

Practice location:
  • Phone: 937-547-2319
  • Fax:
Mailing address:
  • Phone: 937-548-3806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1801003-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: