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BASECAMP RECOVERY LLC NPI 1730702333


NPI Information

NPI: 1730702333
Provider Name: BASECAMP RECOVERY LLC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 36D2265799

Address:
815 W BROAD ST STE 200
COLUMBUS, OH
ZIP 43222
Phone: (614) 799-1906
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BASECAMP RECOVERY LLC is an addiction medicine psychiatry neurology in Columbus, OH. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine BASECAMP RECOVERY LLC NPI is 1730702333. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

815 W BROAD ST STE 200
COLUMBUS, OH
ZIP 43222-478
Phone: (614) 799-1906

The provider's authorized official is Michelle Johnson .
The authorized official title is Administrator and has the following contact phone number (614) 717-0822.

The CLIA number assigned to this NPI record is 36D2265799 - other - behavioral health with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/19/2020 and was last updated on 11/14/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
22084A0401XPsychiatry & NeurologyAddiction MedicineYes

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: 4/28/2024

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