Healthcare Provider Details

I. General information

NPI: 1730168097
Provider Name (Legal Business Name): CHARIS COUNSELING AND PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 S BROAD ST STE 234
LANCASTER OH
43130
US

IV. Provider business mailing address

123 S BROAD ST STE 234
LANCASTER OH
43130
US

V. Phone/Fax

Practice location:
  • Phone: 740-654-8716
  • Fax: 740-654-8716
Mailing address:
  • Phone: 740-654-8716
  • Fax: 740-653-9252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number3138
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number3138
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3138
License Number StateOH

VIII. Authorized Official

Name: DR. STEPHANIE L MILLER
Title or Position: OWNER - PSYCHOLOGIST
Credential: PSYD
Phone: 740-654-8716