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General NPI Number Information
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NPI Number | 1194826123
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Entity Type | Organization
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Legal Business Name | ST. CLAIR HEALTH ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 168 E MAIN ST
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City | SAINT CLAIRSVILLE
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State | OH
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Zip | 43950-1534
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Country | US
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Telephone | 740-695-4805
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Fax | 740-695-0487
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Provider Business Mailing Address
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Address Line | 168 E MAIN ST
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City | SAINT CLAIRSVILLE
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State | OH
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Zip | 43950-1534
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Country | US
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Telephone | 740-695-4805
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Fax | 740-695-0487
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Authorized Official
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Title or Position | CO-MANAGING PARTNER
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Name | MR. TRACY A PRITCHARD
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Credential | M.S.W.
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Telephone | 740-695-4805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I5682
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E1156
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License Number State | OH
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