| Talbert House | |
|
75 Banting Dr Georgetown OH 45121-1460 | |
| (937) 378-4811 | |
| (937) 378-4812 |
| Full Name | Talbert House |
|---|---|
| Speciality | Case Management |
| Location | 75 Banting Dr, Georgetown, Ohio |
| Authorized Official Name and Position | William D Hostler (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5137517747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Talbert House 2600 Victory Pkwy Cincinnati OH 45206-1711 Ph: (513) 751-7747 | Talbert House 75 Banting Dr Georgetown OH 45121-1460 Ph: (937) 378-4811 |
| NPI Number | 1306897046 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 08/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306897046 | NPI | - | NPPES |
| 2490166 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
Dipika J Shah, M D Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Banting Dr, Georgetown, OH 45121 Phone: 513-319-4856 | |
Emily Souder, Therapist, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 Henize Rd, Georgetown, OH 45121 Phone: 513-399-7238 Fax: 937-378-8015 |