Healthcare Provider Details

I. General information

NPI: 1164731568
Provider Name (Legal Business Name): R F HENN & M C GALLAGHER, MDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2010
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4603 N HIGH ST
COLUMBUS OH
43214-2001
US

IV. Provider business mailing address

4603 N HIGH ST
COLUMBUS OH
43214-2001
US

V. Phone/Fax

Practice location:
  • Phone: 614-267-5030
  • Fax: 514-267-5044
Mailing address:
  • Phone: 614-267-5030
  • Fax: 514-267-5044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number35.036132
License Number StateOH

VIII. Authorized Official

Name: DR. MARJORIE C GALLAGHER
Title or Position: PHYSICIAN
Credential: MD
Phone: 614-267-5030