MEDICARE: TALK THERAPY ENTERPRISES 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1538828462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALK THERAPY ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	8700 E MARKET ST STE 3
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-2340
Country	:	US
Telephone Number	:	330-506-5635
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 E MARKET ST STE 3
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-2340
Country	:	US
Telephone Number	:	330-506-5635
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSA EMERY
Credential	:
Telephone Number	:	330-506-5635

Provider Enumeration Date	:	12/08/2021
Last Update Date	:	02/23/2022

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Directions to “TALK THERAPY ENTERPRISES LLC ” Practice Location

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