Healthcare Provider Details

I. General information

NPI: 1790580983
Provider Name (Legal Business Name): AARON BRADFORD QMHS BA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

771 N FREEDOM ST
RAVENNA OH
44266-2470
US

IV. Provider business mailing address

3156 STATE ROUTE 225
DIAMOND OH
44412-9755
US

V. Phone/Fax

Practice location:
  • Phone: 330-296-5552
  • Fax:
Mailing address:
  • Phone: 330-604-6081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: