Overcomers Counseling Services LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

OVERCOMERS COUNSELING SERVICES LLC

Practice address

30 N Breiel Blvd
Middletown, OH 45042-3804

Phone

(937) 701-7704

NPI assigned

Aug 16, 2024

Last updated

Aug 16, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamala K Disney, LISWNPI 1740766211

Title

Sole MBR

Phone

(937) 902-3220

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tamala K Disney, LISW

  • Clinical Social Worker
  • Liberty Township, OH
  • NPI 1740766211
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1447082656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 CENTRAL AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444851",
            "telephone_number": "937-902-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423804",
            "telephone_number": "937-701-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERCOMERS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "DISNEY",
        "authorized_official_first_name": "TAMALA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "937-902-3220",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinton A Osborne, LSW,
• Walid Othman
• Lori Kay Ott, M.S., CCC-SLP
• Tiffany Marie Ott, RN
• Our House of Blessings LLC
• Owlbridge Wellness
• Oxymed Inc (WrenCare)
• Colleen M Paas, OT
• Angela Nicole Page
• Gregory Clay Paine, PHARMD

• Adolescent and Children Mental Health Clinic/Center in Middletown, OH
• Providers in Middletown, OH by specialty
• Adolescent and Children Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.