| Customized Behavioral Healthcare | |
|
3244 Henderson Rd Ste 4 Columbus OH 43220-7300 | |
| (614) 664-3175 | |
| (614) 386-1692 |
| Full Name | Customized Behavioral Healthcare |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3244 Henderson Rd Ste 4, Columbus, Ohio |
| Authorized Official Name and Position | Anthony Lamont Rivers (OWNER) |
| Authorized Official Contact | 6146643175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Customized Behavioral Healthcare 8842 Crestwater Dr Galloway OH 43119-9470 Ph: (614) 330-8834 | Customized Behavioral Healthcare 3244 Henderson Rd Ste 4 Columbus OH 43220-7300 Ph: (614) 664-3175 |
| NPI Number | 1447786447 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447786447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6935 (Ohio) | Primary |
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