Provider Demographics
NPI:1437328739
Name:MCLYMONT-MITCHELL, TANYA MAY (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:MAY
Last Name:MCLYMONT-MITCHELL
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:MAY
Other - Last Name:MCLYMONT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6249 HOWARD RD
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-9691
Mailing Address - Country:US
Mailing Address - Phone:614-886-1238
Mailing Address - Fax:740-524-2010
Practice Address - Street 1:6249 HOWARD RD
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-9691
Practice Address - Country:US
Practice Address - Phone:614-886-1238
Practice Address - Fax:740-524-2010
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0600702101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional