MEDICARE: VIAQUEST PSYCHIATRIC & BEHAVIORAL SOLUTIONS 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
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942451216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIAQUEST PSYCHIATRIC & BEHAVIORAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	525 METRO PL N
Second Line	:	SUITE 300
City	:	DUBLIN
State	:	OH
Zip	:	43017-5342
Country	:	US
Telephone Number	:	614-339-0814
Fax Number	:	614-339-1814

Provider Business Practice Location Address
First Line	:	525 METRO PL N
Second Line	:	SUITE 300
City	:	DUBLIN
State	:	OH
Zip	:	43017-5342
Country	:	US
Telephone Number	:	614-339-0814
Fax Number	:	614-339-1814

Authorized Official
Title or Position	:	DIRECTOR OF TREASURY/REIMBURSEMENT
Name	:	MS. NANCY SWARTWOOD
Credential	:
Telephone Number	:	614-339-0814

Provider Enumeration Date	:	10/06/2008
Last Update Date	:	08/22/2017

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