Healthcare Provider Details

I. General information

NPI: 1417917063
Provider Name (Legal Business Name): FRS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2006
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

313 CHILLICOTHE AVE PO BOX 823
HILLSBORO OH
45133
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 Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

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