Organization · Type 2 NPI

Kelly Dominic, Imft LLC

Marriage & Family Therapist · Amanda, OH

NPI number 1811698657 Active

Practice location

10955 Clearport Rd SW
Amanda, OH 43102-9612

Fax (614) 437-2580

Other practice locations

  • 408 N Columbus St, Lancaster, OH 43130-3033 · (740) 206-8659

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

About NPI 1811698657

Kelly Dominic, Imft LLC's National Provider Identifier is 1811698657, issued on Mar 16, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Amanda, OH. The record was last updated on Oct 28, 2026.