Provider Demographics
NPI:1386371029
Name:SCHARENBERG, TINA LOUISE (BS IN HUMAN SERVICES)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:LOUISE
Last Name:SCHARENBERG
Suffix:
Gender:F
Credentials:BS IN HUMAN SERVICES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 US RT
Mailing Address - Street 2:US RTE 22 NW
Mailing Address - City:WASHINGTON COURT HOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43160
Mailing Address - Country:US
Mailing Address - Phone:740-335-7282
Mailing Address - Fax:740-335-6802
Practice Address - Street 1:1400 US RT 22 NW
Practice Address - Street 2:US RTE 22 NW
Practice Address - City:WASHINGTON COURT HOUSE
Practice Address - State:OH
Practice Address - Zip Code:43160
Practice Address - Country:US
Practice Address - Phone:740-335-7282
Practice Address - Fax:740-335-6802
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
106E00000X, 171400000X, 171M00000X, 1744R1103X, 103K00000X
OH106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171400000XOther Service ProvidersHealth & Wellness Coach
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/Coder
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN666365OtherDRIVER'S LICENSE