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NPI Code Detail

MEDICARE: PERSONAL & FAMILY COUNSELING SERVICES OF TUSCARAWAS VALLEY, INC

MEDICARE: PERSONAL & FAMILY COUNSELING SERVICES OF TUSCARAWAS VALLEY, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency170OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134203995
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERSONAL & FAMILY COUNSELING SERVICES OF TUSCARAWAS VALLEY, INC
Provider Business Mailing Address
First Line : 1433 5TH ST NW
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-1223
Country : US
Telephone Number : 330-343-8171
Fax Number : 330-343-8439
Provider Business Practice Location Address
First Line : 1433 5TH ST NW
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-1223
Country : US
Telephone Number : 330-343-8171
Fax Number : 330-343-8439
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MARILYN L. HENRY
Credential : MS, MSSA, LISW, ACSW
Telephone Number : 330-343-8171
Provider Enumeration Date : 10/25/2006
Last Update Date : 06/19/2008

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Directions to “PERSONAL & FAMILY COUNSELING SERVICES OF TUSCARAWAS VALLEY, INC ” Practice Location

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