Healthcare Provider Details
I. General information
NPI: 1326157942
Provider Name (Legal Business Name): ROBERT ABLEY LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1221 S TRIMBLE RD SUITE A-2
MANSFIELD OH
44907
US
IV. Provider business mailing address
259 SANDUSKY ST
ASHLAND OH
44805
US
V. Phone/Fax
- Phone: 419-756-0803
- Fax: 419-756-0823
- Phone: 419-289-1876
- Fax: 419-281-6430
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | C8432 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TP2701X |
| Taxonomy | Group Psychotherapy Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: