MID-OHIO BEHAVIORAL HEALTH LLC NPI 1578936746

NPI Information

MID-OHIO BEHAVIORAL HEALTH LLC is a mental health counselor in Zanesville, OH. MID-OHIO BEHAVIORAL HEALTH LLC NPI is 1578936746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

930 BETHESDA DR UNIT 4
ZANESVILLE, OH
ZIP 43701-815
Phone: (740) 569-5737
Fax: (740) 569-5716

The provider's authorized official is Russ Valentine .
The authorized official title is Ceo and has the following contact phone number (740) 260-2068.

The CLIA number assigned to this NPI record is 36D2271316 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2015 and was last updated on 5/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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