Provider Demographics
NPI:1669557187
Name:MUHOVICH, TONI JEAN (MDIV, MS, LPCC)
Entity type:Individual
Prefix:MS
First Name:TONI
Middle Name:JEAN
Last Name:MUHOVICH
Suffix:
Gender:F
Credentials:MDIV, MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5737 BRANT RD
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:OH
Mailing Address - Zip Code:45152-9734
Mailing Address - Country:US
Mailing Address - Phone:937-681-3178
Mailing Address - Fax:
Practice Address - Street 1:550 N MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-7520
Practice Address - Country:US
Practice Address - Phone:937-681-3178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE. 0001850101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000012114OtherANTHEM
OH046348000OtherMAGELLAN
OH6276978OtherUNITED BEHAVIORAL HEALTH