MISS TINA M TABLER LICDC LPC NPI 1164797429

NPI Information

NPI: 1164797429
Provider Name: MISS TINA M TABLER, LICDC, LPC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
15 FREDERICK AVE
AKRON, OH
ZIP 44310
Phone: (330) 996-7730
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MISS Tina M Tabler, LICDC, LPC is an addiction (substance use disorder) counselor in Akron, OH with 13 years of experience. MISS Tina M Tabler, LICDC, LPC NPI is 1164797429. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15 FREDERICK AVE
AKRON, OH
ZIP 44310-904
Phone: (330) 996-7730
Fax: (330) 996-7730

The NPI 1164797429 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/19/2012 and was last updated on 2/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LICDC.161375	OHIO	Yes
2	101YP2500X	Counselor	Professional	C0800514	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1164797429	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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