Healthcare Provider Details

I. General information

NPI: 1275452336
Provider Name (Legal Business Name): ERIN N DYE, LISW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LINDEN ST
WEST LIBERTY OH
43357-9383
US

IV. Provider business mailing address

300 LINDEN ST
WEST LIBERTY OH
43357-9383
US

V. Phone/Fax

Practice location:
  • Phone: 937-210-9290
  • Fax:
Mailing address:
  • Phone: 937-210-9290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ERIN N DYE
Title or Position: BEHAVIORAL HEALTH PROVIDER
Credential: LISWS
Phone: 937-597-3394