Mcreynolds, Tamie Rachell

Mcreynolds, Tamie Rachell is an individual health care provider with primary practice located at 280 N Main St , Mansfield OH 44902-7317. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mcreynolds, Tamie Rachell can be contacted via phone (419) 524-5013.

Contact Information

Primary practice address
280 N Main St Mansfield OH 44902-7317
Phone: (419) 524-5013
Fax: (419) 524-5021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 175961 Ohio

Profile Details

NPI number 1548354814
LBN Legal business name Mcreynolds, Tamie Rachell
Credentials LCDCA-P
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Apr 12th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548354814 NPPES
Ohio Other 175961 LCDCA-P

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