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NPI Code Detail

MEDICARE: TATYANA M COLBERT QMHS

MEDICARE: TATYANA M COLBERT QMHS
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial WorkerOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720657661
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATYANA M COLBERT QMHS
Provider Business Mailing Address
First Line : 7232 JUSTIN WAY
Second Line :
City : MENTOR
State : OH
Zip : 44060-4881
Country : US
Telephone Number : 440-578-8200
Fax Number :
Provider Business Practice Location Address
First Line : 7232 JUSTIN WAY
Second Line :
City : MENTOR
State : OH
Zip : 44060-4881
Country : US
Telephone Number : 440-578-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2021
Last Update Date : 04/21/2026

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Directions to “ TATYANA M COLBERT QMHS” Practice Location

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