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NPI Code Detail

MEDICARE: TALBOT CLINICAL SERVICES OF OHIO LLC

MEDICARE: TALBOT CLINICAL SERVICES OF OHIO LLC
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
1251S00000XCommunity/Behavioral Health Agency
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3324500000XSubstance Abuse Rehabilitation Facility
4101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245635549
Entity Type Code : Organization
Provider Name (Legal Business Name) : TALBOT CLINICAL SERVICES OF OHIO LLC
Provider Business Mailing Address
First Line : 732 MAIN ST
Second Line :
City : TOLEDO
State : OH
Zip : 43605-2397
Country : US
Telephone Number : 419-509-7422
Fax Number : 419-691-0601
Provider Business Practice Location Address
First Line : 732 MAIN ST
Second Line :
City : TOLEDO
State : OH
Zip : 43605-2397
Country : US
Telephone Number : 833-762-1013
Fax Number :
Authorized Official
Title or Position : CEO
Name : MRS. OLIVIA MARIE DUNBAR
Credential : LISW
Telephone Number : 517-499-9207
Provider Enumeration Date : 10/29/2014
Last Update Date : 07/17/2025

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Directions to “TALBOT CLINICAL SERVICES OF OHIO LLC ” Practice Location

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