| Tiffany Hairston, PHD, LPCC, LICDC-CS | |
|
1212 Cherry St, Toledo, OH 43608-2906 | |
| (419) 724-3133 | |
| (419) 936-7606 |
| Full Name | Tiffany Hairston |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1212 Cherry St, Toledo, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063843332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E1100077 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | O81156-CS (Ohio) | Primary |
| Entity Name | Unison Behavioral Health Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1952370561 PECOS PAC ID: 9133160542 Enrollment ID: O20050517000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Hairston, PHD, LPCC, LICDC-CS 1212 Cherry St, Toledo, OH 43608-2906 Ph: (419) 724-3133 | Tiffany Hairston, PHD, LPCC, LICDC-CS 1212 Cherry St, Toledo, OH 43608-2906 Ph: (419) 724-3133 |
Jonna Marie Brendle, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 22nd St, Toledo, OH 43604 Phone: 419-241-6191 | |
Kelly A Garza, LSW, LCDCIII-GAMB Counselor Medicare: Not Enrolled in Medicare Practice Location: 2005 Ashland Ave, Toledo, OH 43620 Phone: 419-841-7701 | |
Lanaya Mcdonald, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3350 Collingwood Blvd, Toledo, OH 43610 Phone: 419-255-9585 Fax: 419-255-0207 | |
Ms. Lauren Michelle Merrell, MSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5151 Monroe St Ste 200, Toledo, OH 43623 Phone: 419-475-4449 | |
Shana Bentley, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 W Woodruff Ave, Toledo, OH 43604 Phone: 419-841-7701 | |
Leslie Anne Fern, Counselor Medicare: Medicare Enrolled Practice Location: 4334 Secor Rd, Toledo, OH 43623 Phone: 419-351-1337 | |
Dinisha Paul, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5577 Airport Hwy Ste 102, Toledo, OH 43615 Phone: 419-214-1770 Fax: 419-214-0922 |