Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mollie Countryman

Individual provider Case Manager/Care Coordinator · NPI 1194348334

Mollie Countryman is a Case Manager/Care Coordinator in Fairborn, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

323 N Broad St
Fairborn, OH 45324-4934
Phone: (937) 318-8103
Fax: (937) 400-2347
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1194348334
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 22, 2020
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021

Other providers in Fairborn