Provider Demographics
NPI:1104289156
Name:TD COUNSELING, LLC
Entity type:Organization
Organization Name:TD COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:LILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S,LICDC
Authorized Official - Phone:330-333-9559
Mailing Address - Street 1:7 COURT ST STE 260
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-1407
Mailing Address - Country:US
Mailing Address - Phone:330-333-9559
Mailing Address - Fax:234-414-0069
Practice Address - Street 1:7 COURT ST STE 260
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-1407
Practice Address - Country:US
Practice Address - Phone:330-333-9559
Practice Address - Fax:234-414-0069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 1041C0700X
OHI.13036041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty