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NPI Code Detail

MEDICARE: MRS. JUDY T MINTO MS IN ED

MEDICARE: MRS. JUDY T MINTO MS IN ED
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
1101Y00000XCounselorE-0003330OH
2101YM0800XMental Health CounselorE-0003330OH
3104100000XSocial WorkerS-0014310OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
124875600OTHEROHMAGELLAN MIS # AGENCY
2000000124300OTHEROHANTHEM ID #

General Provider Information

NPI Number : 1558383737
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JUDY T MINTO MS IN ED
Provider Business Mailing Address
First Line : PO BOX 483
Second Line :
City : MINERAL RIDGE
State : OH
Zip : 44440-0483
Country : US
Telephone Number : 330-544-0640
Fax Number :
Provider Business Practice Location Address
First Line : 2401 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-2405
Country : US
Telephone Number : 330-744-3320
Fax Number : 330-744-3677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 09/11/2025

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