MEDICARE: LEONARD TYRONE TUGGLE

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	175T00000X	Peer Specialist	APS.007418	OH

General Provider Information

NPI Number	:	1689526774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEONARD TYRONE TUGGLE

Provider Business Mailing Address
First Line	:	416 W 9TH ST APT 510
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45203-1533
Country	:	US
Telephone Number	:	513-923-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	6779 COLERAIN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-5541
Country	:	US
Telephone Number	:	513-923-1100
Fax Number	:

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

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “ LEONARD TYRONE TUGGLE ” Practice Location

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