| Eden Counseling Centers Llc | |
|
360 S Grant Ave Columbus OH 43215-5537 | |
| (614) 398-3470 | |
| (614) 340-3083 |
| Full Name | Eden Counseling Centers Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 360 S Grant Ave, Columbus, Ohio |
| Authorized Official Name and Position | Edith Waugh (CHAIR, BOARD OF DIRECTORS) |
| Authorized Official Contact | 6143983470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Counseling Centers Llc 360 S Grant Ave Columbus OH 43215-5537 Ph: (614) 398-3470 | Eden Counseling Centers Llc 360 S Grant Ave Columbus OH 43215-5537 Ph: (614) 398-3470 |
| NPI Number | 1760839096 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 03/18/2021 |
| Certification Date | 03/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760839096 | NPI | - | NPPES |
| 0150666 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 34010652 (Ohio) | Primary |
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