| Vision Support Network, Llc | |
|
6434 E Main St Ste 101 Reynoldsburg OH 43068-7300 | |
| (614) 528-4471 | |
| Not Available |
| Full Name | Vision Support Network, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6434 E Main St Ste 101, Reynoldsburg, Ohio |
| Authorized Official Name and Position | Yvette Ellis (CEO) |
| Authorized Official Contact | 6147831522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Support Network, Llc 6434 E Main St Ste 101 Reynoldsburg OH 43068-7300 Ph: (614) 528-4471 | Vision Support Network, Llc 6434 E Main St Ste 101 Reynoldsburg OH 43068-7300 Ph: (614) 528-4471 |
| NPI Number | 1649050956 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649050956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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