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NPI Code Detail

MEDICARE: TCN BEHAVIORAL HEALTH SERVICES

MEDICARE: TCN BEHAVIORAL HEALTH SERVICES
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
1251B00000XCase Management AgencyE.0003820-SUPVOH

General Provider Information

NPI Number : 1013985076
Entity Type Code : Organization
Provider Name (Legal Business Name) : TCN BEHAVIORAL HEALTH SERVICES
Provider Business Mailing Address
First Line : 452 W MARKET ST
Second Line :
City : XENIA
State : OH
Zip : 45385-2815
Country : US
Telephone Number : 937-376-8700
Fax Number : 937-376-8725
Provider Business Practice Location Address
First Line : 452 W MARKET ST
Second Line :
City : XENIA
State : OH
Zip : 45385-2815
Country : US
Telephone Number : 937-376-8700
Fax Number : 937-376-8725
Authorized Official
Title or Position : ASSOC CEO
Name : MR. RANDALL HASKINS
Credential :
Telephone Number : 937-376-8700
Provider Enumeration Date : 03/08/2006
Last Update Date : 05/15/2012

Similar Medicare Providers

1801594676 — BRYAN BANDOW
Practice Location Address:
452 W MARKET ST
XENIA, OH
45385-2815
Practice Phone: 937-376-8700
Practice Fax:
1669649976 — PAM DETAMORE RN
Practice Location Address:
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1336118256 — TCN BEHAVIORAL HEALTH SERVICES, INC.
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1538259239 — SANDRA KEEN LSW
Practice Location Address:
452 W MARKET ST
XENIA, OH
45385-2815
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1093805715 — MICHAEL MCVEY LPCC
Practice Location Address:
452 W MARKET ST
XENIA, OH
45385-2815
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1215027941 — CHRISTOPHER PINKELMAN LPCC, LICDC
Practice Location Address:
452 W MARKET ST
XENIA, OH
45385-2815
Practice Phone: 937-376-8700
Practice Fax: 937-376-8725

Directions to “TCN BEHAVIORAL HEALTH SERVICES ” Practice Location

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