Theravault, LLC

NPI #1922674563 in Powell, Ohio

Provider Information

NPI Number: 1922674563
Entity Type: Organization
Organization Name: Theravault, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 3, 2021
Last Updated: Aug 17, 2022

Practice Location

Address: 185 S LIBERTY ST
City: Powell
State: Ohio
ZIP Code: 43065-7619
Phone: (888) 875-8712

Authorized Official

Name: AMY SMITKE, LISW-S, LICDC
Title: CO-OWNER
Phone: (888) 875-8712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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