IndividualActive
Amy Theodor, MS, LPCC-S, NCC
NPI 1285176685 · Professional Counselor · Bellbrook, OH
Provider details
- NPI number
- 1285176685
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MS, LPCC-S, NCC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Practice location
4266 Fowler Dr
Bellbrook, OH 45305-1171
Phone: (937) 823-0177
Approximate (ZIP-level) locationGet directions
Mailing address
4266 Fowler Dr
Bellbrook, OH 45305-1171
Registry dates
- Enumerated
- 2016-11-16
- Last updated
- 2023-02-15
- Certified
- 2023-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.