Healthcare Provider Details

I. General information

NPI: 1346894672
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA OHIO & INDIAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 W MCMICKEN AVE
CINCINNATI OH
45202-4915
US

IV. Provider business mailing address

215 N FRONT ST STE 510
COLUMBUS OH
43215-3376
US

V. Phone/Fax

Practice location:
  • Phone: 513-639-3743
  • Fax: 513-639-3747
Mailing address:
  • Phone: 614-253-6100
  • Fax: 614-372-3123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: LORI VARN
Title or Position: DIRECTOR OF CQIT
Credential:
Phone: 614-253-6100