Healthcare Provider Details

I. General information

NPI: 1083590749
Provider Name (Legal Business Name): STRENGTHENING CONNECTIONS COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 MACENROE DR
BLACKLICK OH
43004-9339
US

IV. Provider business mailing address

167 MACENROE DR
BLACKLICK OH
43004-9339
US

V. Phone/Fax

Practice location:
  • Phone: 614-653-7016
  • Fax:
Mailing address:
  • Phone: 330-519-4467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CAMILLE HELLER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 330-519-4467