EMILY PROGRAM PC NPI 1669444329

NPI Information

NPI: 1669444329
Provider Name: EMILY PROGRAM PC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 24D2168996

Address:
8001 RAVINES EDGE CT STE 201
COLUMBUS, OH
ZIP 43235
Phone: (614) 896-8222
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EMILY PROGRAM PC is a mental health (including community mental health center) clinic center in Columbus, OH. EMILY PROGRAM PC NPI is 1669444329. The provider is registered as an organization entity type.

The provider's business location address is:

8001 RAVINES EDGE CT STE 201
COLUMBUS, OH
ZIP 43235-423
Phone: (614) 896-8222
Fax: (614) 896-8223

The provider's authorized official is Dirk Miller .
The authorized official title is Executive Director and has the following contact phone number (888) 364-5977.

The CLIA number assigned to this NPI record is 24D2168996 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 2/8/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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

NPI Synchronization or Removal

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