Healthcare Provider Details

I. General information

NPI: 1184872079
Provider Name (Legal Business Name): YOUTH ADVOCATE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 W. FIFTH AVE. STE 150
COLUMBUS OH
43204
US

IV. Provider business mailing address

2323 W. FIFTH AVE. STE 150
COLUMBUS OH
43204
US

V. Phone/Fax

Practice location:
  • Phone: 614-258-9927
  • Fax: 614-745-1964
Mailing address:
  • Phone: 614-258-9927
  • Fax: 614-745-1964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number631
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number524163
License Number StateOH

VIII. Authorized Official

Name: MRS. SARAH ELIZABETH STEUER
Title or Position: CEO
Credential:
Phone: 614-428-0278