Provider Demographics
NPI:1366256539
Name:TIFFIN COUNSELING GROUP
Entity type:Organization
Organization Name:TIFFIN COUNSELING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:R
Authorized Official - Last Name:CAHILL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:614-787-4715
Mailing Address - Street 1:3748 KILMUIR DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-5606
Mailing Address - Country:US
Mailing Address - Phone:614-787-4715
Mailing Address - Fax:
Practice Address - Street 1:143 S MONROE ST
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-2820
Practice Address - Country:US
Practice Address - Phone:614-270-6982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health