South Community Behavioral Healthcare

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

101Y00000X Issued in OH

Legal business name

SOUTH COMMUNITY BEHAVIORAL HEALTHCARE

Practice address

3095 Kettering Blvd
Moraine, OH 45439-1983

Phone

(937) 252-0100

NPI assigned

Dec 14, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Barbara L Crabill, MS, PCC-S, NCC

Title

Program Manager/Student Placements

Phone

(937) 534-1572

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1447596713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391983",
            "telephone_number": "937-252-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COMMUNITY BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "CRABILL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROGRAM MANAGER/STUDENT PLACEMENTS",
        "authorized_official_telephone_number": "937-534-1572",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, PCC-S, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "101Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill R Sokolnicki, MS, LPCC-S
• Aurie Fae Solanum, LPC
• Trudyann Lenice Solomon
• Rachel Ann Solvig
• South Community
• South Community Inc
• South Community Inc
• South Community Inc.
• South Community Inc.
• South Community Primary Care Inc

• Community/Behavioral Health Agency in Moraine, OH
• Providers in Moraine, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.