Healthcare Provider Details

I. General information

NPI: 1780488486
Provider Name (Legal Business Name): ACCESS BEHAVIORAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

665 E DUBLIN GRANVILLE RD STE 410
COLUMBUS OH
43229-3245
US

IV. Provider business mailing address

665 E DUBLIN GRANVILLE RD STE 410
COLUMBUS OH
43229-3245
US

V. Phone/Fax

Practice location:
  • Phone: 614-388-8008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ACCESS BEHAVIORAL HEALTH CENTER
Title or Position: CEO
Credential:
Phone: 614-388-8008