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MOUNDBUILDERS GUIDANCE CENTER INC NPI 1043489503


NPI Information

NPI: 1043489503
Provider Name: MOUNDBUILDERS GUIDANCE CENTER, INC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
65 MESSIMER DR
NEWARK, OH
ZIP 43055
Phone: (740) 522-8477
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MOUNDBUILDERS GUIDANCE CENTER, INC is a counselor in Newark, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MOUNDBUILDERS GUIDANCE CENTER, INC NPI is 1043489503. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

65 MESSIMER DR
NEWARK, OH
ZIP 43055-874
Phone: (740) 522-8477

The provider's authorized official is Laura Edelblute .
The authorized official title is Chief Operating Officer and has the following contact phone number (740) 788-0244.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 2/28/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19226892MEDICARE UPIN
29226891MEDICARE UPIN
32485734MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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