MEDICARE: MS. ROBYN AURNOU LISW

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	I7861	OH
2	1041C0700X	Clinical Social Worker	I.0007861-SUPV

General Provider Information

NPI Number	:	1932400074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROBYN AURNOU LISW

Provider Business Mailing Address
First Line	:	1560 FISHINGER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-2108
Country	:	US
Telephone Number	:	614-457-7876
Fax Number	:	614-457-1040

Provider Business Practice Location Address
First Line	:	104 N MAIN ST
Second Line	:
City	:	MARYSVILLE
State	:	OH
Zip	:	43040-1106
Country	:	US
Telephone Number	:	937-537-5100
Fax Number	:

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

Provider Enumeration Date	:	11/05/2010
Last Update Date	:	03/17/2024

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