Individual provider · NPI-1
Tianyi Bai, LSW
Counselor, Mental Health · Streetsboro, OH
NPI number1821779133
StatusActive
Last updated in NPPESJul 28, 2023
Details
- NPI
- 1821779133
- Entity type
- Individual (NPI-1)
- Name
- Tianyi Bai
- Credential
- LSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2023
- Certification date
- Jul 28, 2023
- Last updated
- Jul 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | S.2309481 | OH | Yes |
Practice location
9217 State Route 43 Ste 220Streetsboro, OH 44241-5371
Phone 330-422-9005
Mailing address
9217 State Route 43 Ste 220Streetsboro, OH 44241-5371
Phone 330-422-9005
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