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General NPI Number Information
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NPI Number | 1841084100
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Entity Type | Organization
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Legal Business Name | YOUTH WELLBEING CENTER LLC
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 466 N CASSADY AVE
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City | BEXLEY
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State | OH
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Zip | 43209-1027
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Country | US
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Telephone | 614-371-7293
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Fax | 380-210-7393
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Provider Business Mailing Address
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Address Line | 466 N CASSADY AVE
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City | BEXLEY
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State | OH
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Zip | 43209-1027
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Country | US
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Telephone | 614-371-7293
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Fax | 380-210-7393
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | LISA KELLEY
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Credential | EDS
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Telephone | 614-371-3632
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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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