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NPI Code Detail

MEDICARE: NEW SEASON COUNSELING CENTER LLC

MEDICARE: NEW SEASON COUNSELING CENTER LLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1164018495
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW SEASON COUNSELING CENTER LLC
Provider Business Mailing Address
First Line : 3197 E DUBLIN GRANVILLE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4035
Country : US
Telephone Number : 614-880-8686
Fax Number : 614-888-8414
Provider Business Practice Location Address
First Line : 5460 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4074
Country : US
Telephone Number : 614-568-8236
Fax Number : 614-725-2829
Authorized Official
Title or Position : SENIOR MANAGER
Name : DAVID WEAVER
Credential :
Telephone Number : 614-880-8686
Provider Enumeration Date : 12/21/2020
Last Update Date : 10/07/2024

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Directions to “NEW SEASON COUNSELING CENTER LLC ” Practice Location

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