Basic Information
| Provider Information | |||||||||
| NPI: | 1821595794 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCELROY | ||||||||
| FirstName: | ALLISON | ||||||||
| MiddleName: | BAILEY | ||||||||
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| Credential: | LPCC, LICDC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 710 N HIGH ST | ||||||||
| Address2: | |||||||||
| City: | MOUNT ORAB | ||||||||
| State: | OH | ||||||||
| PostalCode: | 451548349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9374441613 | ||||||||
| FaxNumber: | 9374441605 | ||||||||
| Practice Location | |||||||||
| Address1: | 508 E MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WEST UNION | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45693 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9375445218 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2018 | ||||||||
| LastUpdateDate: | 02/23/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | C.1801140 | OH | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YA0400X | 166578 | OH | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YM0800X | QMHS | OH | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | C.1801140 | OH | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.