Healthcare Provider Details

I. General information

NPI: 1518227453
Provider Name (Legal Business Name): EQUITAS HEALTH,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2012
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 N HIGH ST
COLUMBUS OH
43201
US

IV. Provider business mailing address

1105 SCHROCK RD STE 400
COLUMBUS OH
43229-1174
US

V. Phone/Fax

Practice location:
  • Phone: 614-340-6717
  • Fax: 614-340-6787
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN SHEPHERD
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 833-378-4827