| Tcp Of Ohio, Llc | |
|
8479 S. Mason Montgomery Road Suite 4 Mason OH 45040-4023 | |
| (513) 443-2180 | |
| (513) 725-1141 |
| Full Name | Tcp Of Ohio, Llc |
|---|---|
| Speciality | Counselor |
| Location | 8479 S. Mason Montgomery Road, Mason, Ohio |
| Authorized Official Name and Position | Stefanie Ann Lorentz (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5134131203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tcp Of Ohio, Llc 8479 S. Mason Montgomery Road Suite 4 Mason OH 45040-4023 Ph: (513) 443-2180 | Tcp Of Ohio, Llc 8479 S. Mason Montgomery Road Suite 4 Mason OH 45040-4023 Ph: (513) 443-2180 |
| NPI Number | 1366957003 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366957003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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