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Organization
GALLIMORE PSYCHIATRIC SERVICES, LLC
Active
Organization
GALLIMORE PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANI MICHELLE GALLIMORE MSN, APRN, PMHNP-BC (CERTIFIED NURSE PRACTITIONER)
(937) 369-3234
Entity
Organization
Contact information
Practice address
7901 SCHATZ POINTE DR, CENTERVILLE, OH 45459-3824
(937) 438-9841
(937) 438-9851
Mailing address
1256 ASHLAND AVE, DAYTON, OH 45420-1504
(937) 369-3234
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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