Dylan Pelham

Social Worker · Mansfield, OH

Individual Active NPI

NPI number 1053775478

Practice location

741 Scholl Rd
Mansfield, OH 44907
Phone
(419) 756-1717

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NPI record

NPI
1053775478
Entity type
Individual (Type 1)
Enumeration date
April 12, 2016
Last updated
March 6, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X — —
Addiction (Substance Use Disorder) Counselor 101YA0400X 140635 OH

Mailing address

741 Scholl Rd
Mansfield, OH 44907-1571

Other practice locations (2)

  • 13 Park Ave W Ste 400, Mansfield, OH 44902-1743 · (419) 522-5015
  • 13 Park Ave W Ste 400, Mansfield, OH 44902-1743 · (419) 522-5015

About Dylan Pelham

Dylan Pelham is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 741 Scholl Rd, Mansfield, OH 44907. The NPI number 1053775478 was assigned on April 12, 2016 and the record was last updated on March 6, 2019.

Dylan Pelham lists a license in the registry: #140635 (OH) for Addiction (Substance Use Disorder) Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dylan Pelham?

The NPI number is 1053775478.

What is the phone number of Dylan Pelham?

The phone number listed for the practice location is (419) 756-1717.

Where is Dylan Pelham located?

741 Scholl Rd, Mansfield, OH 44907.

What is the taxonomy code for Dylan Pelham?

The primary taxonomy code is 104100000X – Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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