MEDICARE: MADISON LIGAN

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	C.2507120	OH

General Provider Information

NPI Number	:	1669352357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON LIGAN

Provider Business Mailing Address
First Line	:	9810 RAVENNA RD STE 1
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-1761
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9810 RAVENNA RD STE 1
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-1761
Country	:	US
Telephone Number	:	330-331-2188
Fax Number	:

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

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	09/04/2025

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Directions to “ MADISON LIGAN ” Practice Location

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