Provider Demographics
NPI:1881264927
Name:GUZMAN, TOMAS
Entity type:Individual
Prefix:
First Name:TOMAS
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 E DUNCAN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-2468
Mailing Address - Country:US
Mailing Address - Phone:614-398-1104
Mailing Address - Fax:
Practice Address - Street 1:246 E DUNCAN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-2468
Practice Address - Country:US
Practice Address - Phone:614-398-1104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-30
Last Update Date:2025-10-06
Deactivation Date:2024-05-21
Deactivation Code:
Reactivation Date:2024-06-05
Provider Licenses
StateLicense IDTaxonomies
OHC.2405918101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health