Dirty South Therapeutics LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DIRTY SOUTH THERAPEUTICS LLC

Practice address

2541 Hartwood Rd
Chillicothe, OH 45601-8136

Phone

(740) 993-9571

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Mathuews II

Title

Owner

Phone

(740) 993-9571

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1215711262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 HARTWOOD RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 HARTWOOD RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018136",
            "telephone_number": "740-993-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRTY SOUTH THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHUEWS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-993-9571",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Sue Dillard, APRN
• Jeri Diane Dillow
• Tracee Dillow
• Dirty South Therapeutics LLC
• Dirty South Therapeutics LLC
• Dirty South Therapeutics LLC
• Jennifer Disbennett
• Jeremy Allen Disbennett
• Rachel Lynn Disbennett, BSN, RN
• Judith Ann Dodrill, CNS, CNP

• Clinical Social Worker in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.