Organization
TANYA M. PURCELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA MARIE PURCELL LPCC-S (OWNER)
(419) 304-6895
Entity
Organization
Contact information
Practice address
1627 HENTHORNE DR STE D, MAUMEE, OH 43537-1370
(419) 304-6895
Mailing address
3816 SCHNEIDER RD, TOLEDO, OH 43614-3652
(419) 304-6895
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1100246SUPV
OH
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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