Healthcare Provider Details

I. General information

NPI: 1033268859
Provider Name (Legal Business Name): COMPREHENSIVE BEHAVIORAL HEALTH ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 JAVIT CT
AUSTINTOWN OH
44515-2409
US

IV. Provider business mailing address

5305 SYCAMORE HILL DR
NEW MIDDLETOWN OH
44442-8769
US

V. Phone/Fax

Practice location:
  • Phone: 330-797-4050
  • Fax: 330-797-4090
Mailing address:
  • Phone: 330-542-9535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0002791
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number965575
License Number StateOH

VIII. Authorized Official

Name: DR. KOTESWARA R. KAZA
Title or Position: MEDICAL DIRECTOR AND OWNER
Credential: M.D.
Phone: 330-797-4050