MEDICARE: TERESA A PAYTON LPCC

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	101YM0800X	Mental Health Counselor	E.2606510	OH

General Provider Information

NPI Number	:	1457998189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA A PAYTON LPCC

Provider Business Mailing Address
First Line	:	1714 BEECHWOOD ST NE
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44483-4134
Country	:	US
Telephone Number	:	330-766-8527
Fax Number	:

Provider Business Practice Location Address
First Line	:	1714 BEECHWOOD ST NE
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44483-4134
Country	:	US
Telephone Number	:	330-766-8527
Fax Number	:

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

Provider Enumeration Date	:	12/02/2019
Last Update Date	:	03/02/2026

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Directions to “ TERESA A PAYTON LPCC” Practice Location

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