Guest, Darrell M
Guest, Darrell M is an sole proprietor health care provider with primary practice located at 1320 Woodman Dr Suite 200, Dayton OH 45432-3497. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Guest, Darrell M can be contacted via phone (937) 223-1781.Contact Information
Primary practice address
1320 Woodman Dr Suite 200
Dayton OH 45432-3497
Phone: (937) 223-1781
Fax: (937) 853-0096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.1302017 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 001182 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | W909 | Ohio |
Profile Details
| NPI number | 1609853753 |
|---|---|
| LBN Legal business name | Guest, Darrell M |
| Credentials | LISW-S, LICDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jan 28th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609853753 | NPPES |
| Ohio | MEDICAID | 2272231 |
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