Healthcare Provider Details

I. General information

NPI: 1104676899
Provider Name (Legal Business Name): NEW AURORA HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3836 E LIVINGSTON AVE
COLUMBUS OH
43227-2360
US

IV. Provider business mailing address

3836 E LIVINGSTON AVE
COLUMBUS OH
43227-2360
US

V. Phone/Fax

Practice location:
  • Phone: 234-808-4345
  • Fax: 216-545-7093
Mailing address:
  • Phone: 234-808-4345
  • Fax: 216-545-7093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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 Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KEVIN STRONG
Title or Position: PRESIDENT/CEO
Credential:
Phone: 234-808-4345