Provider Demographics
NPI:1447519327
Name:BUCKEYE COUNSELING
Entity type:Organization
Organization Name:BUCKEYE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:RENAE
Authorized Official - Last Name:CHALFANT
Authorized Official - Suffix:
Authorized Official - Credentials:AA/CDCA
Authorized Official - Phone:740-689-1890
Mailing Address - Street 1:117 W MAIN ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130
Mailing Address - Country:US
Mailing Address - Phone:740-689-1890
Mailing Address - Fax:740-689-0451
Practice Address - Street 1:117 W MAIN ST
Practice Address - Street 2:SUITE 107
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130
Practice Address - Country:US
Practice Address - Phone:740-689-1890
Practice Address - Fax:740-689-0451
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAIRFIELD COUNSELING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-11
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0018342101YA0400X, 251S00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health