Healthcare Provider Details

I. General information

NPI: 1407718083
Provider Name (Legal Business Name): BILLIE JO PERSINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

PO BOX 614
IRONTON OH
45638-0614
US

IV. Provider business mailing address

1007 N 2ND ST
IRONTON OH
45638-1235
US

V. Phone/Fax

Practice location:
  • Phone: 740-442-7045
  • Fax: 740-442-7047
Mailing address:
  • Phone: 740-442-7045
  • Fax: 740-442-7047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: