Provider Demographics
NPI:1194508358
Name:OHR COUNSELING CENTER LLC
Entity type:Organization
Organization Name:OHR COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-617-0235
Mailing Address - Street 1:514 S SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-6731
Mailing Address - Country:US
Mailing Address - Phone:480-617-0235
Mailing Address - Fax:
Practice Address - Street 1:1201 S ALMA SCHOOL RD STE 11000
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-2086
Practice Address - Country:US
Practice Address - Phone:480-617-0235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty