Healthcare Provider Details

I. General information

NPI: 1891617932
Provider Name (Legal Business Name): NEW HARVEST BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 HEIMAT HAUS DR
GROVE CITY OH
43123-4085
US

IV. Provider business mailing address

1004 HEIMAT HAUS DR
GROVE CITY OH
43123-4085
US

V. Phone/Fax

Practice location:
  • Phone: 814-931-3850
  • Fax:
Mailing address:
  • Phone: 814-931-3850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ROBERT KSIAZKIEWICZ
Title or Position: CLINICIAN OWNER
Credential: LPCC-S, LICDC
Phone: 814-931-3850