Healthcare Provider Details

I. General information

NPI: 1891055133
Provider Name (Legal Business Name): FRS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 ERIN CT
HILLSBORO OH
45133-8591
US

IV. Provider business mailing address

PO BOX 823 313 CHILLICOTHE AVENUE
HILLSBORO OH
45133-0823
US

V. Phone/Fax

Practice location:
  • Phone: 937-393-9720
  • Fax: 937-393-9703
Mailing address:
  • Phone: 937-393-4562
  • Fax: 937-393-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: ROGER CHEESBRO
Title or Position: CEO
Credential:
Phone: 937-393-4562