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NPI Code Detail

MEDICARE: THE HIGH ROAD, LLC

MEDICARE: THE HIGH ROAD, 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1821730037
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HIGH ROAD, LLC
Provider Business Mailing Address
First Line : 285 ILLINOIS AVE
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-2357
Country : US
Telephone Number : 614-558-1991
Fax Number :
Provider Business Practice Location Address
First Line : 75 E WILSON BRIDGE RD STE C2
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-2362
Country : US
Telephone Number : 614-558-1991
Fax Number : 614-888-6372
Authorized Official
Title or Position : CLINICAL SOCIAL WORKER
Name : HOLLY E WOOD
Credential : MSW, LISW-S
Telephone Number : 614-558-1991
Provider Enumeration Date : 04/08/2022
Last Update Date : 04/08/2022

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Directions to “THE HIGH ROAD, LLC ” Practice Location

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