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General NPI Number Information
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NPI Number | 1154682763
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 90 HOSPITAL DR
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City | ATHENS
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State | OH
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Zip | 45701-2301
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Country | US
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Telephone | 740-592-3091
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Fax |
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Provider Business Mailing Address
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Address Line | 90 HOSPITAL DR
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City | ATHENS
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State | OH
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Zip | 45701-2301
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Country | US
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Telephone | 740-592-3091
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. GEORGE P WEIGLY
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Credential | PHD.
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Telephone | 740-592-3091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 193200000X
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License Number State | OH
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