Healthcare Provider Details

I. General information

NPI: 1417805763
Provider Name (Legal Business Name): BETHEL LOCAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7490 STATE ROUTE 201
TIPP CITY OH
45371-7316
US

IV. Provider business mailing address

7045 U.S. 40
NEW CARLISLE OH
45344
US

V. Phone/Fax

Practice location:
  • Phone: 937-845-9414
  • Fax:
Mailing address:
  • Phone: 937-845-9414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: JENNI LOGAN
Title or Position: TREASURER/CFO
Credential:
Phone: 937-845-9414