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NPI Code Detail

MEDICARE: OHANAS HAVEN

MEDICARE: OHANAS HAVEN
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
21041C0700XClinical Social Worker
3163W00000XRegistered Nurse
4163WA0400XAddiction (Substance Use Disorder) Registered Nurse
5251B00000XCase Management Agency
6251S00000XCommunity/Behavioral Health Agency
7261QS1000XStudent Health Clinic/Center
8320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility
93245S0500XChildren's Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1467254847
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHANAS HAVEN
Provider Business Mailing Address
First Line : 2323 LAKE CLUB DR STE 230
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-3101
Country : US
Telephone Number : 614-604-6696
Fax Number :
Provider Business Practice Location Address
First Line : 2323 LAKE CLUB DR STE 230
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-3101
Country : US
Telephone Number : 614-604-6696
Fax Number :
Authorized Official
Title or Position : CEO
Name : JAILYNN WOOD
Credential :
Telephone Number : 614-625-1741
Provider Enumeration Date : 03/26/2025
Last Update Date : 03/26/2025

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Directions to “OHANAS HAVEN ” Practice Location

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