Provider Demographics
NPI:1417733114
Name:DUHAIME, ABIGAIL (LSW)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:DUHAIME
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:DUHAIME
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:808 SANDALWOOD RD E
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-3219
Mailing Address - Country:US
Mailing Address - Phone:419-367-1639
Mailing Address - Fax:
Practice Address - Street 1:424 W WOODRUFF AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-5027
Practice Address - Country:US
Practice Address - Phone:419-841-7701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
OHC.2506544-TRNE101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst