Provider Demographics
NPI:1316117708
Name:TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:WEIGLY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:740-594-5045
Mailing Address - Street 1:90 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-2301
Mailing Address - Country:US
Mailing Address - Phone:740-593-3682
Mailing Address - Fax:740-594-5642
Practice Address - Street 1:90 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2301
Practice Address - Country:US
Practice Address - Phone:740-593-3682
Practice Address - Fax:740-594-5642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0206261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2488722Medicaid
OH1080OtherMACSIS PIN
OH1080OtherMACSIS PIN
OH2488722Medicaid
OH9170481Medicare PIN