Healthcare Provider Details

I. General information

NPI: 1265503536
Provider Name (Legal Business Name): AFFIRMATIONS PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 E BROAD ST. STE. 100 & 301
COLUMBUS OH
43215-4037
US

IV. Provider business mailing address

620 E BROAD ST. STE. 100 & 301
COLUMBUS OH
43215-4037
US

V. Phone/Fax

Practice location:
  • Phone: 614-445-8277
  • Fax: 614-445-8283
Mailing address:
  • Phone: 614-445-8277
  • Fax: 614-445-8283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LESLIE FUCHS
Title or Position: PRESIDENT
Credential:
Phone: 810-358-1643