Healthcare Provider Details
I. General information
NPI: 1003883075
Provider Name (Legal Business Name): ALLWELL BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/08/2006
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2845 BELL ST
ZANESVILLE OH
43701-1720
US
IV. Provider business mailing address
2845 BELL ST
ZANESVILLE OH
43701-1720
US
V. Phone/Fax
- Phone: 740-454-9766
- Fax: 740-588-6452
- Phone: 740-454-9766
- Fax: 740-588-6452
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAMES
A
MCDONALD
Title or Position: PRESIDENT & CEO
Credential: MA
Phone: 740-454-9766