Tyneisha Allen
Community/Behavioral Health in Mentor, OH. Individual provider (NPI-1).
NPI number1639852007
StatusActive
Last updated in NPPESAug 10, 2023
Details
- NPI
- 1639852007
- Entity type
- Individual (NPI-1)
- Name
- Tyneisha Allen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2023
- Certification date
- Aug 10, 2023
- Last updated
- Aug 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
9220 Mentor AveMentor, OH 44060-6412
Phone 440-354-9924 · Fax 440-205-1025
Mailing address
9220 Mentor AveMentor, OH 44060-6412
Phone 440-354-9924 · Fax 440-205-1025
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