MEDICARE: T&S YOUTH PROJECT

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	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number	:	1801755210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T&S YOUTH PROJECT

Provider Business Mailing Address
First Line	:	918 LOCKBOURNE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-1625
Country	:	US
Telephone Number	:	614-604-4260
Fax Number	:

Provider Business Practice Location Address
First Line	:	918 LOCKBOURNE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-1625
Country	:	US
Telephone Number	:	614-604-4260
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABABA AZEEM
Credential	:
Telephone Number	:	614-607-4703

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	03/20/2026

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Directions to “T&S YOUTH PROJECT ” Practice Location

Language	Start Address	Practice Location

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