EYES ON THERAPY


Address: 1207 N Plum St Ste A, Springfield, OH 45504-1865
Phone: 5132908417

EYES ON THERAPY (NPI# 1235693623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235693623
Entity Type Organization
Organization Name EYES ON THERAPY
Practice Address 1207 N Plum St Ste A
Springfield
OH 45504-1865
Practice Telephone 5132908417
Mailing Telephone 5132908417
Enumeration Date 2019-01-30
Last Update Date 2019-01-30
Authorized Official Name AIZHAN KYDYKEEVA (MENTAL HEALTH COUNSELOR)
Authorized Official Telephone 5132908417
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Eyes On Therapy Doing Business As Name - Organization

Office Location

Street Address 1207 N PLUM ST STE A
City SPRINGFIELD
State OH
Zip Code 45504-1865

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City SPRINGFIELD
Zip Code 45504

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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