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General NPI Number Information
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NPI Number | 1710785670
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Entity Type | Organization
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Legal Business Name | OHIO CENTER FOR BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 3000 CORPORATE EXCHANGE DR STE 110
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City | COLUMBUS
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State | OH
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Zip | 43231-7689
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Country | US
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Telephone | 614-507-1460
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Fax |
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Provider Business Mailing Address
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Address Line | 6795 SUMMERSWEET DR
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City | NEW ALBANY
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State | OH
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Zip | 43054-8475
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Country | US
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Telephone | 614-507-1460
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR - CEO
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Name | THERESA GASER
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Credential | MSSA, ISWS, LCSW
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Telephone | 614-507-1460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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