Kelly Dominic, Imft Llc in Amanda, OH - Community/Behavioral Health

Kelly Dominic, Imft Llc is a mental health clinic (Community/behavioral Health) in Amanda, Ohio. The current practice location for Kelly Dominic, Imft Llc is 10955 Clearport Rd Sw, Amanda, Ohio. For appointments, you can reach them via phone at (330) 730-9511. The mailing address for Kelly Dominic, Imft Llc is 10955 Clearport Rd Sw, Amanda, Ohio and phone number is (330) 730-9511.

Kelly Dominic, Imft Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1811698657. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (330) 730-9511.

Contact Information

	Kelly Dominic, Imft Llc
	10955 Clearport Rd Sw Amanda OH 43102-9612
	(330) 730-9511
	Not Available

Mental Health Clinic Profile

Full Name	Kelly Dominic, Imft Llc
Speciality	Community/behavioral Health
Location	10955 Clearport Rd Sw, Amanda, Ohio
Authorized Official Name and Position	Kelly M Dominic (MARRIAGE AND FAMILY THERAPIST OWNER)
Authorized Official Contact	3307309511
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Dominic, Imft Llc 10955 Clearport Rd Sw Amanda OH 43102-9612 Ph: (330) 730-9511	Kelly Dominic, Imft Llc 10955 Clearport Rd Sw Amanda OH 43102-9612 Ph: (330) 730-9511

NPI Details:

NPI Number	1811698657
Provider Enumeration Date	03/16/2023
Last Update Date	03/16/2023
Certification Date	03/16/2023

Medical Identifiers

Medical identifiers for Kelly Dominic, Imft Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811698657	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
251S00000X	Community/behavioral Health	(* (Not Available))	Primary

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Kelly Dominic, Imft Llc - Mental Health Clinic in Amanda, OH