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General NPI Number Information
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NPI Number | 1366256539
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Entity Type | Organization
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Legal Business Name | TIFFIN COUNSELING GROUP
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 143 S MONROE ST
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City | TIFFIN
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State | OH
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Zip | 44883-2820
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Country | US
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Telephone | 614-270-6982
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Fax |
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Provider Business Mailing Address
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Address Line | 3748 KILMUIR DR
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City | COLUMBUS
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State | OH
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Zip | 43221-5606
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Country | US
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Telephone | 614-787-4715
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TRACI R CAHILL
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Credential | LPCC
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Telephone | 614-787-4715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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