Ackley, Tina M

Ackley, Tina M is an sole proprietor health care provider with primary practice located at 196 E Emmitt Ave , Waverly OH 45690-1334. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Ackley, Tina M can be contacted via phone (740) 912-9499.

Contact Information

Primary practice address
196 E Emmitt Ave Waverly OH 45690-1334
Phone: (740) 912-9499
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1134893845
LBN Legal business name Ackley, Tina M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2021
Last updated Aug 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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