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Kelly Dominic, Imft Llc
Community/Behavioral Health Agency in Amanda, Ohio
NPI 1811698657

Kelly Dominic, Imft Llc is a Community/Behavioral Health Agency based in Amanda, OH. Kelly Dominic, Imft Llc practices in Amanda, OH. The NPI Number for Kelly Dominic, Imft Llc is 1811698657 and holds a License No. (Ohio).

The current practice location address for Kelly Dominic, Imft Llc is 10955 Clearport Rd Sw, Amanda, OH and can be reached out via phone at 330-730-9511.

Location: 10955 Clearport Rd Sw, Amanda, OH, 43102-9612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811698657
Provider Name
Kelly Dominic, Imft Llc
Credential
Provider Entity Type
Organization
Address
10955 Clearport Rd Sw, Amanda, OH, 43102-9612
Phone Number
330-730-9511
Fax Number
Provider Enumeration Date
03/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10955 Clearport Rd Sw
City
Amanda
State
Ohio
Zip
43102-9612
Phone Number
330-730-9511
Fax Number
person
Provider Business Mailing Address Details
Address
10955 Clearport Rd Sw
City
Amanda
State
Ohio
Zip
43102-9612
Phone Number
330-730-9511
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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