Healthcare Provider Details

I. General information

NPI: 1194754010
Provider Name (Legal Business Name): ARLETT J POLLOCK-EVANS MS, RN, CNS, CTP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2653 W ELM ST
LIMA OH
45805-2506
US

IV. Provider business mailing address

PO BOX 341
BELLEFONTAINE OH
43311-0341
US

V. Phone/Fax

Practice location:
  • Phone: 937-592-9545
  • Fax: 937-592-9790
Mailing address:
  • Phone: 937-592-9545
  • Fax: 937-592-9790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier03834100
Identifier TypeOTHER
Identifier StateOH
Identifier IssuerMAGELLAN
# 2
Identifier00000038225
Identifier TypeOTHER
Identifier StateOH
Identifier IssuerANTHEM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: