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NPI Code Detail

MEDICARE: EXPERIENCES INC

MEDICARE: EXPERIENCES 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
1101YM0800XMental Health Counselor
2251B00000XCase Management Agency
3251S00000XCommunity/Behavioral Health Agency
4251V00000XVoluntary or Charitable Agency
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
6261QM0850XAdult Mental Health Clinic/Center
7261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1659194520
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXPERIENCES INC
Provider Business Mailing Address
First Line : PO BOX 13056
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-0056
Country : US
Telephone Number : 614-584-4498
Fax Number :
Provider Business Practice Location Address
First Line : 3942 E MAIN ST STE 3
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-2949
Country : US
Telephone Number : 614-322-9388
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. JASON D TERRELL
Credential :
Telephone Number : 614-584-4498
Provider Enumeration Date : 11/07/2024
Last Update Date : 05/12/2025

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Directions to “EXPERIENCES INC ” Practice Location

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