Provider Demographics
NPI:1073153607
Name:PICKING UP THE PIECES, INC
Entity Type:Organization
Organization Name:PICKING UP THE PIECES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TYLISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:419-508-6434
Mailing Address - Street 1:1709 SPIELBUSCH AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-5372
Mailing Address - Country:US
Mailing Address - Phone:419-508-6434
Mailing Address - Fax:
Practice Address - Street 1:1709 SPIELBUSCH AVE STE 107
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-5372
Practice Address - Country:US
Practice Address - Phone:419-508-6434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-11
Last Update Date:2020-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health