Healthcare Provider Details

I. General information

NPI: 1437798451
Provider Name (Legal Business Name): NEXT GENERATION BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2019
Last Update Date: 12/23/2019
Certification Date: 12/23/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2256 1/2 E MAIN ST SUITE C
BEXLEY OH
43209
US

IV. Provider business mailing address

2256 1/2 E MAIN ST APT C
BEXLEY OH
43209-2394
US

V. Phone/Fax

Practice location:
  • Phone: 800-570-1509
  • Fax: 800-570-1509
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MELISSA L BRIGGS-PHILLIPS
Title or Position: OWNER
Credential: PH.D.
Phone: 800-570-1509