OrganizationActive
Kelly Dominic, Imft LLC
NPI 1811698657 · Community/Behavioral Health Agency · Amanda, OH
Provider details
- NPI number
- 1811698657
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kelly Dominic, Marriage and Family Therapist Owner(330) 730-9511
Specialties & taxonomies
Agencies
Practice location
10955 Clearport Rd Sw
Amanda, OH 43102-9612
Phone: (330) 730-9511
Approximate (ZIP-level) locationGet directions
Mailing address
10955 Clearport Rd Sw
Amanda, OH 43102-9612
Registry dates
- Enumerated
- 2023-03-16
- Last updated
- 2023-03-16
- Certified
- 2023-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.