MID-ATLANTIC BUREAU OF SOBRIETY AND RECOVERY (NPI# 1669833588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669833588 |
| Entity Type | Organization |
| Organization Name | MID-ATLANTIC BUREAU OF SOBRIETY AND RECOVERY |
| Practice Address |
1336 E Main St Columbus OH 43205-2081 |
| Practice Telephone | 6463204358 |
| Mailing Telephone | 6463204358 |
| Enumeration Date | 2016-03-20 |
| Last Update Date | 2016-03-20 |
| Authorized Official Name | VICKI GAULT (COUNSELOR) |
| Authorized Official Telephone | 6146271000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
1336 E MAIN ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-2081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457399131 | Dba East Main Street Pharmacy | Pharmacy | 1336 E Main St, Columbus, OH 43205-2081 | 2006-06-03 |
| 1811596554 | Helen Marie Brushart | Case Manager/Care Coordinator | 1336 E Main St, Columbus, OH 43205-2081 | 2020-10-23 |
| 1013522796 | Ayomide David Gbenro | Case Manager/Care Coordinator | 1336 E Main St, Columbus, OH 43205-2081 | 2020-09-10 |
| 1619587680 | Thaddeus Rashad Gibson | Case Manager/Care Coordinator | 1336 E Main St, Columbus, OH 43205-2081 | 2020-08-05 |
| 1659919637 | Stefan Dunn | Case Manager/Care Coordinator | 1336 E Main St, Columbus, OH 43205-2081 | 2019-12-20 |
| 1568008621 | Helen Cain Jackson | Social Worker | 1336 E Main St, Columbus, OH 43205-2081 | 2019-11-25 |
| 1972154573 | Delbert Christopher Scott | Case Manager/Care Coordinator | 1336 E Main St, Columbus, OH 43205-2081 | 2019-09-25 |
| 1306497912 | Walter Jeffery Brewer | Case Manager/Care Coordinator | 1336 E Main St, Columbus, OH 43205-2081 | 2019-09-25 |
| 1396394441 | Fatma Mohamed Ismail | Case Manager/Care Coordinator | 1336 E Main St, Columbus, OH 43205-2081 | 2019-09-10 |
| 1639723034 | Duane Scott | Case Manager/Care Coordinator | 1336 E Main St, Columbus, OH 43205-2081 | 2019-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891332946 | Kav Health Group LLC | Substance Abuse Rehabilitation Facility | 6161 Busch Blvd Ste 190, Columbus, OH 43229-2510 | 2019-12-09 |
| 1073041869 | A New Beginning Counseling, LLC | Substance Abuse Rehabilitation Facility | 700 Bryden Rd Ste 135, Columbus, OH 43215-4839 | 2017-05-24 |
| 1144763012 | Dca Enterprise | Substance Abuse Rehabilitation Facility | 2700 East Dublin Granville Road, Suite 230, Columbus, OH 43231 | 2016-11-28 |
| 1386042471 | Recovery House, Inc. | Substance Abuse Rehabilitation Facility | 770 Golding Road, Columbus, MS 39704-2590 | 2014-12-05 |
| 1124461538 | Christian Hands LLC | Substance Abuse Rehabilitation Facility | 924 Linwood Ave, Columbus, OH 43206-1621 | 2013-04-16 |
| 1639292568 | The Neighborhood House, Inc. | Substance Abuse Rehabilitation Facility | 1000 Atcheson St, Columbus, OH 43203-1353 | 2007-04-07 |
| 1326196700 | Addiction & Mental Health Services Inc | Substance Abuse Rehabilitation Facility | 860 Brookstone Centre Pkwy, Suite A, Columbus, GA 31904-3076 | 2007-01-08 |
| 1508927989 | House of Hope for Alcoholics, Inc. | Substance Abuse Rehabilitation Facility | 1320 Parsons Ave, Columbus, OH 43206-3642 | 2006-12-12 |
| 1912961996 | Diversified Community Services, Inc. | Substance Abuse Rehabilitation Facility | 1651 E Main St, Columbus, OH 43205-2118 | 2006-04-14 |
| 1932727419 | Odyssey Medical Associates LLC | Substance Abuse Rehabilitation Facility | 2525 Oakstone Dr Ste B, Columbus, OH 43231-8626 | 2020-07-10 |
| Find all providers in COLUMBUS | ||||
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| 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.