Provider Demographics
NPI:1083195747
Name:TADIN, MOLLY OLIVIA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:OLIVIA
Last Name:TADIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 SULLYS TRL STE 5
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-4570
Mailing Address - Country:US
Mailing Address - Phone:585-210-8425
Mailing Address - Fax:
Practice Address - Street 1:121 SULLYS TRL STE 5
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-4570
Practice Address - Country:US
Practice Address - Phone:585-210-8425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist