Tharp, Jeralyn Renee

Tharp, Jeralyn Renee is an individual health care provider with primary practice located at 609 Woodside Dr , Englewood OH 45322-1848. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Tharp, Jeralyn Renee can be contacted via phone (937) 540-9495.

Contact Information

Primary practice address
609 Woodside Dr Englewood OH 45322-1848
Phone: (937) 540-9495
Fax: (937) 962-6210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.1800797 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1800797 Ohio

Profile Details

NPI number 1073848750
LBN Legal business name Tharp, Jeralyn Renee
Credentials LPCC-S LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2009
Last updated Sep 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073848750 NPPES
Ohio MEDICAID G0332295
Ohio Other G0332295

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