Provider Demographics
NPI:1013217272
Name:MARILYN K. INCEOGLU LISW-S
Entity Type:Organization
Organization Name:MARILYN K. INCEOGLU LISW-S
Other - Org Name:TRANSITIONS COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:K
Authorized Official - Last Name:INCEOGLU
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:740-616-0779
Mailing Address - Street 1:1616 W CHURCH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-1540
Mailing Address - Country:US
Mailing Address - Phone:740-616-0779
Mailing Address - Fax:
Practice Address - Street 1:1616 W CHURCH ST
Practice Address - Street 2:SUITE A
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-1540
Practice Address - Country:US
Practice Address - Phone:740-616-0779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.00099171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty