Healthcare Provider Details

I. General information

NPI: 1144902008
Provider Name (Legal Business Name): HRS COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 OREGONIA RD
LEBANON OH
45036-3903
US

IV. Provider business mailing address

5576 HENDERSON RD
WAYNESVILLE OH
45068-8335
US

V. Phone/Fax

Practice location:
  • Phone: 937-608-4204
  • Fax:
Mailing address:
  • Phone: 937-272-3812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. HOLLY RENE ST. PIERRE
Title or Position: OWNER
Credential: LPCC S
Phone: 937-272-3812