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EAGLE HEALTHWORKS LLC NPI 1881248359


NPI Information

NPI: 1881248359
Provider Name: EAGLE HEALTHWORKS LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 36D2245321

Address:
14882 STATE ROUTE 13
THORNVILLE, OH
ZIP 43076
Phone: (740) 688-6588
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EAGLE HEALTHWORKS LLC is an addiction (substance use disorder) counselor in Thornville, OH. EAGLE HEALTHWORKS LLC NPI is 1881248359. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14882 STATE ROUTE 13
THORNVILLE, OH
ZIP 43076-954
Phone: (740) 688-6588
Fax: (740) 688-6589

The provider's authorized official is Dennis Eagleeye .
The authorized official title is Owner and has the following contact phone number (740) 227-0089.

The CLIA number assigned to this NPI record is 36D2245321 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/1/2019 and was last updated on 1/25/2022.


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
1101YM0800XCounselorMental HealthNo
2101YA0400XCounselorAddiction (Substance Use Disorder)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: 4/28/2024

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