TEQUILLA THOMAS (NPI# 1184920019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184920019 |
| Entity Type | Individual |
| Full Name | TEQUILLA THOMAS |
| Credential | LPCC-S, LICDC-CS |
| Practice Address |
3454 Oak Alley Ct Toledo OH 43606-1306 |
| Mailing Address |
Po Box 3117 Toledo OH 43607-0117 |
| Practice Telephone | 7344300980 |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0159337 | 05 |
| Street Address |
3454 OAK ALLEY CT |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821255 | Paul Steve Mitch | Psychiatry & Neurology | 3454 Oak Alley Ct, Suite 301, Toledo, OH 43606-1306 | 2005-06-16 |
| 1679094882 | Segues LLC | Counselor | 3454 Oak Alley Ct, Toledo, OH 43606-1306 | 2017-06-28 |
| 1902289705 | Medexpress Transportation, LLC | Non-emergency Medical Transport (VAN) | 3454 Oak Alley Ct, Suite 500, Toledo, OH 43606-1306 | 2015-06-30 |
| 1952790388 | Carlyn Rebecca Campbell-johannes | Counselor | 3454 Oak Alley Ct, Suite 406, Toledo, OH 43606-1306 | 2015-01-22 |
| 1427467844 | Dawn Defalco | Counselor | 3454 Oak Alley Ct, Suite #305, Toledo, OH 43606-1306 | 2014-08-11 |
| 1225444896 | Davispsychological & Consulting Services Inc. | Psychologist | 3454 Oak Alley Ct, Suite 201, Toledo, OH 43606-1306 | 2014-07-03 |
| 1588098768 | Christopher M. Muller, LLC | Counselor | 3454 Oak Alley Ct, Suite 503, Toledo, OH 43606-1306 | 2013-08-24 |
| 1407292519 | Blessed Assurance Health Agency LLC | Home Health | 3454 Oak Alley Ct, Suite 402, Toledo, OH 43606-1306 | 2013-05-15 |
| 1447594346 | Transitions Counseling Services, LLC | Community/Behavioral Health | 3454 Oak Alley Ct, Suite 400, Toledo, OH 43606-1306 | 2012-11-15 |
| 1245586130 | The Process Counseling Center, LLC | Community/Behavioral Health | 3454 Oak Alley Ct, Suite 410, Toledo, OH 43606-1306 | 2012-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
| Find all providers in zip 43606 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194351064 | Rochelle Yvette Fletcher | Counselor | 2473 Hollywood Ave, Toledo, OH 43620-1041 | 2020-03-23 |
| 1417517475 | Richard Y Tuggle Sr. | Counselor | 4604 Blue Rock Ct, Toledo, OH 43615-7676 | 2019-06-20 |
| 1366917569 | Melissa Malinowski | Counselor | 7540 New West Road, Toledo, OH 43617 | 2018-10-04 |
| 1760984231 | Stacey Lynn Mclaughlin | Counselor | 6629 Central Avenue, Toledo, OH 43617 | 2018-03-01 |
| 1225586217 | Marlene Dolinar | Counselor | 3425 Executive Pkwy Ste 115, Toledo, OH 43606-1333 | 2016-09-19 |
| 1235553645 | Martha Campbell | Counselor | 1946 N 13th St Ste 420, Toledo, OH 43604-7264 | 2014-02-06 |
| 1801169743 | Melissa Ann Schaller | Counselor | 6715 Dorr St, Toledo, OH 43615-4207 | 2012-02-22 |
| 1891936613 | Shahna Lynn Ashard | Counselor | 980 Se Reservoir Lane, Toledo, OR 97391 | 2009-03-09 |
| 1508062597 | Will J Pecsok | Counselor | 3150 N Republic Suite #5, Toledo, OH 43615 | 2007-06-26 |
| 1154537249 | Workplace Resources LLC | Counselor | 3232 Executive Pkwy, Ste 105, Toledo, OH 43606-1397 | 2007-05-15 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.