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Organization

TIOGA COUNTY

Active
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Organization

TIOGA COUNTY

Active
Parent organization
TIOGA COUNTY
Other names
Tioga County Department of Mental Hygiene
Organization subpart
Yes

Provider details

NPI number
Legal business name
TIOGA COUNTY
Authorized official
MS. LORI MORGAN LCSW-R (DIRECTOR OF COMMUNITY SERVICES)
(607) 687-0200
Entity
Organization

Contact information

Practice address
1062 STATE ROUTE 38, OWEGO, NY 13827-3209
(607) 687-0200
(607) 687-0248
Mailing address
1062 STATE ROUTE 38, PO BOX 177, OWEGO, NY 13827-3209
(607) 687-0200
(607) 687-0248

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6893100A/B
NY
2084P0800X
Psychiatry Physician
363L00000X
Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00618162
NY
01
6893100A
NYSOMH OPERATING CERT.
NY
01
6893100B
NYSOMH OPERATING CERT.
NY
Enumeration date
01/31/2006
Last updated
11/16/2022
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