MEDICARE: HOLCOMBE BEHAVIORAL HEALTH LLC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1922954205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLCOMBE BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	PO BOX 61
Second Line	:
City	:	REYNOLDSBURG
State	:	OH
Zip	:	43068-0061
Country	:	US
Telephone Number	:	614-829-7606
Fax Number	:

Provider Business Practice Location Address
First Line	:	8755 REFUGEE RD
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-8938
Country	:	US
Telephone Number	:	614-829-7606
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JERMAINE A HARRIS
Credential	:	HARRIS
Telephone Number	:	614-348-4278

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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