Tabata C Alain, MFT

Individual provider Active NPI Marriage & Family Therapist · Dayton, OH

NPI 1386188308 · NPPES record last updated Nov 13, 2023

Key facts

NPI
1386188308
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
F.2300368 (OH)
Practice address
7031 Corporate Way Ste 103
Dayton, OH 45459-4262
Phone
(937) 619-9089
Fax
(937) 328-7257
NPI assigned
Dec 9, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
F.2300368OHMDMarriage & Family Therapist
M.1500026OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
De'Asia L. Thompson, Lisw, LLC Marriage & Family Therapist Past
since Nov 19, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X M.1500026 OH
Marriage & Family Therapist 106H00000X F.2300368 OH Yes

Addresses

Primary practice location

7031 Corporate Way Ste 103
Dayton, OH 45459-4262

Mailing address

7031 Corporate Way Ste 103
Dayton, OH 45459-4262
Phone (937) 619-9089

Other names

  • Tabata C Marlowe, White, Alain, Flores Former name

Other providers in Dayton, OH

All providers in Dayton, OH · Marriage & Family Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.