MEDICARE: GELACYS BUILDING BRIDGES MENTAL AND BEHAVIORAL HEALTH

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1700712429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GELACYS BUILDING BRIDGES MENTAL AND BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	3749 WATT RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-1160
Country	:	US
Telephone Number	:	614-354-1679
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 S STATE ST
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2233
Country	:	US
Telephone Number	:	614-354-1679
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRIAN MILLER JR.
Credential	:
Telephone Number	:	614-354-1679

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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Directions to “GELACYS BUILDING BRIDGES MENTAL AND BEHAVIORAL HEALTH ” Practice Location

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