Healthcare Provider Details

I. General information

NPI: 1912877572
Provider Name (Legal Business Name): OPAL SPRINGS BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1361 COMMUNITY PARK DR
COLUMBUS OH
43229-2258
US

IV. Provider business mailing address

1361 COMMUNITY PARK DR
COLUMBUS OH
43229-2258
US

V. Phone/Fax

Practice location:
  • Phone: 614-615-7674
  • Fax:
Mailing address:
  • Phone:
  • 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 Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: ABDIRAHMAN FARAH
Title or Position: DIRECTOR
Credential:
Phone: 614-615-7674