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NPI Code Detail

MEDICARE: CHELSEA MARIE TRAYLOR LCDCII

MEDICARE: CHELSEA MARIE TRAYLOR LCDCII
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
1101YM0800XMental Health CounselorQMHSOH
2101YA0400XAddiction (Substance Use Disorder) CounselorLCDCII.161707OH

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 : 1932740545
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA MARIE TRAYLOR LCDCII
Provider Business Mailing Address
First Line : 4790 SORG RD
Second Line :
City : HILLSBORO
State : OH
Zip : 45133-6749
Country : US
Telephone Number : 937-509-4929
Fax Number :
Provider Business Practice Location Address
First Line : 815 S SOUTH ST
Second Line :
City : WILMINGTON
State : OH
Zip : 45177-2755
Country : US
Telephone Number : 866-564-2639
Fax Number : 800-480-7578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2019
Last Update Date : 02/20/2026

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Directions to “ CHELSEA MARIE TRAYLOR LCDCII” Practice Location

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