Healthcare Provider Details

I. General information

NPI: 1588537039
Provider Name (Legal Business Name): DOVE WHITEHALL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3616 E MAIN ST
WHITEHALL OH
43213-2913
US

IV. Provider business mailing address

3616 E MAIN ST
WHITEHALL OH
43213-2913
US

V. Phone/Fax

Practice location:
  • Phone: 888-586-7168
  • Fax:
Mailing address:
  • Phone: 888-586-7168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. ZALMAN LIEBERMAN
Title or Position: MEMBER
Credential:
Phone: 888-251-2365