Healthcare Provider Details

I. General information

NPI: 1366256539
Provider Name (Legal Business Name): TIFFIN COUNSELING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 S MONROE ST
TIFFIN OH
44883-2820
US

IV. Provider business mailing address

3748 KILMUIR DR
COLUMBUS OH
43221-5606
US

V. Phone/Fax

Practice location:
  • Phone: 614-270-6982
  • Fax:
Mailing address:
  • Phone: 614-787-4715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TRACI R CAHILL
Title or Position: CEO
Credential: LPCC
Phone: 614-787-4715