TASC OF SOUTHEAST OHIO
NPI 1104567577
Counselor - Mental Health in Gallipolis, OH

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since April 07, 2022

499 JACKSON PIKE, GALLIPOLIS, OH 45631(740) 446-6471 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Tasc Of Southeast Ohio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TASC OF SOUTHEAST OHIO (NPI 1104567577) is a healthcare organization registered as a mental health in Gallipolis, Ohio and active in the NPI registry since April 2022. The organization lists Carrie Burris, Fiscal Manager, as its authorized official.

NPPES Registry Identity

NPI1104567577

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameTASC OF SOUTHEAST OHIO

Location Address499 JACKSON PIKEGallipolis, OH 45631-1398

Mailing AddressPo Box 88Gallipolis, OH 45631-0088 · (740) 446-6471

Phone(740) 446-6471

Organization SubpartNo

Authorized OfficialCarrie BurrisFiscal Manager · (740) 446-6471

Enumeration DateApril 7, 2022

NPPES CertifiedApril 7, 2022

✔ NPI 1104567577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

499 JACKSON PIKE, Gallipolis, OH 45631

Open in Google Maps ↗

Other Identifiers 1

Medicaid065834OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP