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NPI 1538148945

NPI 1538148945 : TRI-COUNTY MENTAL HEALTH & COUNSELING SERVICES, INC : ATHENS, OH

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General NPI Number Information
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    NPI Number           |    1538148945
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRI-COUNTY MENTAL HEALTH & COUNSELING SERVICES, INC 
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Dates
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    Enumeration Date     |    01/13/2006
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    Last Update Date     |    07/12/2013
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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            |    740-593-3682
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    Fax                  |    740-594-5642
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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            |    740-593-3682
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    Fax                  |    740-594-5642
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     GEORGE PATRICK WEIGLY 
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    Credential           |    PHD
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    Telephone            |    740-594-5045
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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       |    0206
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    License Number State |    OH
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