Healthcare Provider Details

I. General information

NPI: 1669137766
Provider Name (Legal Business Name): ABBY L GALLOWAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2021
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 VINE ST
SALEM OH
44460-2939
US

IV. Provider business mailing address

PO BOX 429
LISBON OH
44432-0429
US

V. Phone/Fax

Practice location:
  • Phone: 330-332-1514
  • Fax: 330-424-0877
Mailing address:
  • Phone: 330-424-9573
  • Fax: 330-424-0877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2608237
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: