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NPI Code Detail

MEDICARE: MICHELLE CAYSE

MEDICARE: MICHELLE CAYSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2106S00000XBehavior Technician
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1003647793
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE CAYSE
Provider Business Mailing Address
First Line : 2335 MANSFIELD WASHINGTON RD
Second Line :
City : MANSFIELD
State : OH
Zip : 44903-7642
Country : US
Telephone Number : 419-606-5072
Fax Number : 419-903-0133
Provider Business Practice Location Address
First Line : 1638 EAGLE WAY
Second Line :
City : ASHLAND
State : OH
Zip : 44805-8924
Country : US
Telephone Number : 419-903-0202
Fax Number : 419-903-0133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2024
Last Update Date : 08/27/2024

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Directions to “ MICHELLE CAYSE ” Practice Location

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