MEDICARE: PROJECT LINDEN, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	01212	OTHER	OH	UPI NUMBER

General Provider Information

NPI Number	:	1053449926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROJECT LINDEN, INC.

Provider Business Mailing Address
First Line	:	1410 CLEVELAND AVE.
Second Line	:	SUITE #2
City	:	COLUMBUS
State	:	OH
Zip	:	43211
Country	:	US
Telephone Number	:	614-221-7790
Fax Number	:	614-221-9164

Provider Business Practice Location Address
First Line	:	1410 CLEVELAND AVE.
Second Line	:	SUITE #2
City	:	COLUMBUS
State	:	OH
Zip	:	43211
Country	:	US
Telephone Number	:	614-221-7790
Fax Number	:	614-221-9164

Authorized Official
Title or Position	:	CONTROLLER
Name	:	MR. MICHAEL L. HARRIS
Credential	:
Telephone Number	:	614-221-7790

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	07/21/2022

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Directions to “PROJECT LINDEN, INC. ” Practice Location

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