Healthcare Provider Details
I. General information
NPI: 1598426819
Provider Name (Legal Business Name): INTERVENTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2022
Last Update Date: 01/08/2022
Certification Date: 01/08/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4000 LEAP RD
HILLIARD OH
43026-1241
US
IV. Provider business mailing address
PO BOX 1561
HILLIARD OH
43026-6561
US
V. Phone/Fax
- Phone: 614-348-5708
- Fax:
- Phone: 614-348-5708
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PRISCILLA
MATHYS
Title or Position: OWNER
Credential:
Phone: 614-348-5708