Healthcare Provider Details

I. General information

NPI: 1225662182
Provider Name (Legal Business Name): GUIDING HAND BEHAVIOR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 08/18/2022
Certification Date: 08/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2071 N BECHTLE AVE # 174
SPRINGFIELD OH
45504-1583
US

IV. Provider business mailing address

2071 N BECHTLE AVE # 174
SPRINGFIELD OH
45504-1583
US

V. Phone/Fax

Practice location:
  • Phone: 937-346-8841
  • Fax: 844-927-0442
Mailing address:
  • Phone: 937-346-8841
  • Fax: 844-927-0442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DASHIANNA GREEN
Title or Position: CEO
Credential: M. ED., BCBA, COBA
Phone: 937-346-8841