Individual provider · Type 1 NPI

Stephanie Marie Blust, QMHP

Community/Behavioral Health Agency · Fairborn, OH

NPI number 1639768963 Active

Practice location

323 N Broad St
Fairborn, OH 45324-4934

Call (937) 318-8103 Map

Mailing address

21018 Fayetteville Rd
Blanchester, OH 45107-8890

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

14 other providers at this address

About NPI 1639768963

Stephanie Marie Blust, QMHP's National Provider Identifier is 1639768963, issued on Jan 12, 2021. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Fairborn, OH. The record was last updated on Jan 12, 2021.