Individual provider · Type 1 NPI

Sasha N. Bongorno, LPC

Mental Health Counselor · Centerville, OH

NPI number 1003612375 Active

Practice location

10861 Yankee St
Centerville, OH 45458-3574

Mailing address

107 Marshall St
Yellow Springs, OH 45387-1619

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.2608215 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1003612375

Sasha N. Bongorno, LPC's National Provider Identifier is 1003612375, issued on Feb 19, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centerville, OH. The record was last updated on Jun 8, 2026.