Provider Demographics
NPI:1962900753
Name:WELSH, BILLIE (LSW)
Entity type:Individual
Prefix:
First Name:BILLIE
Middle Name:
Last Name:WELSH
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 W EMMITT AVE # 1
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-1005
Mailing Address - Country:US
Mailing Address - Phone:740-835-4054
Mailing Address - Fax:
Practice Address - Street 1:221 W EMMITT AVE # 1
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-1005
Practice Address - Country:US
Practice Address - Phone:740-835-4054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-26
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)