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NPI 1447228432

NPI 1447228432 : TIMOTHY M LLEWELLYN LPCC, LISW : ZANESVILLE, OH

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General NPI Number Information
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    NPI Number           |    1447228432
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    Entity Type          |    Individual 
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    Provider Name        |    TIMOTHY M LLEWELLYN LPCC, LISW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/08/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2845 BELL ST 
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    City                 |    ZANESVILLE
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    State                |    OH
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    Zip                  |    43701-1720
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    Country              |    US
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    Telephone            |    740-454-9766
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    Fax                  |    740-588-6452
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Provider Business Mailing Address
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    Address Line         |    2935 BOGGS RD 
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    City                 |    ZANESVILLE
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    State                |    OH
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    Zip                  |    43701-9175
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    Country              |    US
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    Telephone            |    740-454-0263
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    E1098
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    I3342
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    License Number State |    OH
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