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NPI Code Detail

MEDICARE: MS. TERRI LYNN HEMPHILL LICDC

MEDICARE: MS. TERRI LYNN HEMPHILL LICDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor151208OH
2101YA0400XAddiction (Substance Use Disorder) CounselorLICDC.161975OH
3104100000XSocial WorkerI.2405968OH

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 : 1669923694
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERRI LYNN HEMPHILL LICDC
Provider Business Mailing Address
First Line : 1105 SCHROCK RD STE 400
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-1174
Country : US
Telephone Number : 833-378-4827
Fax Number :
Provider Business Practice Location Address
First Line : 750 E LONG ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-1846
Country : US
Telephone Number : 833-378-4827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2016
Last Update Date : 11/22/2024

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