Provider Demographics
NPI:1932648912
Name:PAYDEN, TAMIKA Y (LPCC-S)
Entity Type:Individual
Prefix:
First Name:TAMIKA
Middle Name:Y
Last Name:PAYDEN
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:TAMIKA
Other - Middle Name:
Other - Last Name:PERKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45 ARCH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1403
Mailing Address - Country:US
Mailing Address - Phone:330-379-5094
Mailing Address - Fax:330-379-5095
Practice Address - Street 1:45 ARCH ST STE 500
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1403
Practice Address - Country:US
Practice Address - Phone:330-379-5094
Practice Address - Fax:330-379-5095
Is Sole Proprietor?:No
Enumeration Date:2017-02-23
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0800462101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0470713Medicaid