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MOLLIE COUNTRYMAN
NPI 1194348334
Counselor - Addiction (Substance Use Disorder) in Fairborn, OH

Active since May 22, 2020
323 N BROAD ST, FAIRBORN, OH 45324(937) 318-8103(937) 400-2347 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2021, May 22, 2020 (2 updates tracked since 2020).

About Mollie Countryman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLIE COUNTRYMAN (NPI 1194348334) is an individual addiction (substance use disorder) provider in Fairborn, Ohio and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1194348334
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMOLLIE COUNTRYMAN
Location Address323 N BROAD STFairborn, OH 45324-4934
Mailing Address323 N Broad StFairborn, OH 45324-4934 · (937) 318-8103 · Fax (937) 400-2347
Phone(937) 318-8103
Fax(937) 400-2347
Sole ProprietorYes
Enumeration DateMay 22, 2020
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1194348334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
323 N BROAD ST, Fairborn, OH 45324
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANNA MCKINNEY
Behavior Analyst
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103
FAIRBORN MENTAL HEALTH LLC
Psychiatry & Neurology (Psychiatry)
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8013
KARYN LEE JORDAN RBT
Behavior Technician
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103
JOHN HENDERSON CDCA
Counselor (Addiction (Substance Use Disorder))
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103
MELISSA MARIE ROOT APRN
Nurse Practitioner (Psychiatric/Mental Health)
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103
STEPHANIE MARIE BLUST QMHP
Community/Behavioral Health
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103
FAIRBORN MENTAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103
BELINDA SUE NIECE APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mollie Countryman's NPI number?

The NPI number for Mollie Countryman is 1194348334. It was assigned to this individual provider in the NPPES registry on May 22, 2020.

Where is Mollie Countryman located?

Mollie Countryman practices at 323 N Broad St, Fairborn, OH 45324. The listed phone number is (937) 318-8103.

What is Mollie Countryman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mollie Countryman was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.