Healthcare Provider Details

I. General information

NPI: 1245341932
Provider Name (Legal Business Name): APPLIED MENTAL HEALTH CONCEPTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 N PROSPECT ST
MARION OH
43302-2364
US

IV. Provider business mailing address

827 N MAIN ST
MARION OH
43302-1736
US

V. Phone/Fax

Practice location:
  • Phone: 740-382-9500
  • Fax:
Mailing address:
  • Phone: 740-375-5581
  • Fax: 740-375-5583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License NumberCP00443
License Number StateOH

VIII. Authorized Official

Name: MR. MICHAEL JAY BELCHER
Title or Position: CEO
Credential: PH.D., M.B.A.
Phone: 740-375-5581