Healthcare Provider Details

I. General information

NPI: 1265352991
Provider Name (Legal Business Name): ISHA BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 LEAP ROAD P.O. BOX 163
HILLIARD OH
43026-1241
US

IV. Provider business mailing address

4000 LEAP ROAD P.O. BOX 163
HILLIARD OH
43026-1241
US

V. Phone/Fax

Practice location:
  • Phone: 614-330-9473
  • Fax:
Mailing address:
  • Phone: 614-330-9473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MUNA ABDI-HARROUD
Title or Position: CEO/OWNER
Credential: LSW
Phone: 614-330-9473