MEDICARE: THE COUPLES COUCH 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
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1447099460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE COUPLES COUCH LLC

Provider Business Mailing Address
First Line	:	6953 ELLEN BOAT LN
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-7913
Country	:	US
Telephone Number	:	614-396-7056
Fax Number	:	614-340-7133

Provider Business Practice Location Address
First Line	:	6953 ELLEN BOAT LN
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-7913
Country	:	US
Telephone Number	:	614-396-7056
Fax Number	:	614-340-7133

Authorized Official
Title or Position	:	CO-OWNER/THERAPIST
Name	:	SHERRY H BARBOUR
Credential	:
Telephone Number	:	614-935-3292

Provider Enumeration Date	:	05/20/2024
Last Update Date	:	05/20/2024

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