Healthcare Provider Details

I. General information

NPI: 1386150282
Provider Name (Legal Business Name): ANOTHER BEGINNING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2017
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 BETHEL RD STE D
COLUMBUS OH
43220
US

IV. Provider business mailing address

1830 BETHEL RD STE D
COLUMBUS OH
43220-1809
US

V. Phone/Fax

Practice location:
  • Phone: 800-674-6432
  • Fax: 614-737-9957
Mailing address:
  • Phone: 800-674-6432
  • Fax: 614-737-9957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AMEERA ALI
Title or Position: COO
Credential:
Phone: 678-793-1383