MEDICARE: TASHANNA ARROYO

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
1	171M00000X	Case Manager/Care Coordinator
2	101YM0800X	Mental Health Counselor	LPC010851	GA

General Provider Information

NPI Number	:	1215305289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TASHANNA ARROYO

Provider Business Mailing Address
First Line	:	1135 13TH ST
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-2248
Country	:	US
Telephone Number	:	706-887-5030
Fax Number	:	706-243-1877

Provider Business Practice Location Address
First Line	:	1135 13TH ST
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-2248
Country	:	US
Telephone Number	:	706-887-5030
Fax Number	:	706-243-1877

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2015
Last Update Date	:	07/03/2019

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Directions to “ TASHANNA ARROYO ” Practice Location

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