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NPI Code Detail

MEDICARE: DEBORAH POUNDS

MEDICARE: DEBORAH POUNDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyOH

General Provider Information

NPI Number : 1396125100
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEBORAH POUNDS
Provider Business Mailing Address
First Line : 3035 W BROAD ST STE 101
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-2653
Country : US
Telephone Number : 614-272-7005
Fax Number : 614-272-7008
Provider Business Practice Location Address
First Line : 3035 W BROAD ST STE 100
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-2653
Country : US
Telephone Number : 614-272-7005
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. DEBORAH MARLENE POUNDS
Credential : LPC, LICDC-CS
Telephone Number : 614-531-1574
Provider Enumeration Date : 06/05/2015
Last Update Date : 09/07/2016

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