Basic Information
| Provider Information | |||||||||
| NPI: | 1811402456 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROMANOWSKI | ||||||||
| FirstName: | KELLEY | ||||||||
| MiddleName: | |||||||||
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| Credential: | LPCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 188 | ||||||||
| Address2: | |||||||||
| City: | CHILLICOTHE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456010188 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7407734366 | ||||||||
| FaxNumber: | 7407757855 | ||||||||
| Practice Location | |||||||||
| Address1: | 541 SR 664 N | ||||||||
| Address2: | SUITE C | ||||||||
| City: | LOGAN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 431388541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7403856594 | ||||||||
| FaxNumber: | 7407746617 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2017 | ||||||||
| LastUpdateDate: | 06/17/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | OH | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.