Healthcare Provider Details

I. General information

NPI: 1194600981
Provider Name (Legal Business Name): SCARLETT AND GRAY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 E 11TH AVE
COLUMBUS OH
43211-2949
US

IV. Provider business mailing address

1985 HENDERSON RD # 134
COLUMBUS OH
43220-2401
US

V. Phone/Fax

Practice location:
  • Phone: 614-390-8652
  • Fax:
Mailing address:
  • Phone: 614-390-8652
  • Fax:

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 Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY N STEWART
Title or Position: OWNER/MEMBER
Credential:
Phone: 614-390-8652