| Tanya M. Purcell | |
|
1627 Henthorne Dr Ste D Maumee OH 43537-1370 | |
| (419) 304-6895 | |
| Not Available |
| Full Name | Tanya M. Purcell |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1627 Henthorne Dr Ste D, Maumee, Ohio |
| Authorized Official Name and Position | Tanya Marie Purcell (OWNER) |
| Authorized Official Contact | 4193046895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya M. Purcell 3816 Schneider Rd Toledo OH 43614-3652 Ph: (419) 304-6895 | Tanya M. Purcell 1627 Henthorne Dr Ste D Maumee OH 43537-1370 Ph: (419) 304-6895 |
| NPI Number | 1679079651 |
|---|---|
| Provider Enumeration Date | 03/30/2018 |
| Last Update Date | 03/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679079651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1100246SUPV (Ohio) | Primary |
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