Organization Name: | TD COUNSELING, LLC |
NPI Number: | 1104289156 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRI LEE-DAVIS LILLER (OWNER) |
Mailing Address: | 132 S Broad St Suite 204a Canfield |
State: | OH US |
Postal Code: | 444061442 |
Phone Number: | 3305318604 |
Fax Number: | 3305318604 |
NPI Enumeration Date: | 03/29/2016 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I.1303604 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |