Healthcare Provider Details

I. General information

NPI: 1588479240
Provider Name (Legal Business Name): MSC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 BRYDEN RD STE 161
COLUMBUS OH
43215-4839
US

IV. Provider business mailing address

700 BRYDEN RD STE 161
COLUMBUS OH
43215-4839
US

V. Phone/Fax

Practice location:
  • Phone: 614-705-6427
  • Fax:
Mailing address:
  • Phone: 614-705-6427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE MCCURDY
Title or Position: DIRECTOR
Credential:
Phone: 614-705-6427