| Porchlight Llc | |
|
1115 Bethel Rd Columbus OH 43220-2690 | |
| (614) 289-8659 | |
| Not Available |
| Full Name | Porchlight Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1115 Bethel Rd, Columbus, Ohio |
| Authorized Official Name and Position | Mandi Pierson (DIRECTOR-CLINICIAN) |
| Authorized Official Contact | 6142898659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Porchlight Llc 891 S Richardson Ave Columbus OH 43204-2730 Ph: (937) 207-7216 | Porchlight Llc 1115 Bethel Rd Columbus OH 43220-2690 Ph: (614) 289-8659 |
| NPI Number | 1093394470 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093394470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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