| Addiction Campuses Professional Services Of Ohio, Llc | |
| 
					2650 Lodge Rd Sw Sherrodsville OH 44675-9718  | |
| (330) 866-0916 | |
| (330) 556-4023 | 
| Full Name | Addiction Campuses Professional Services Of Ohio, Llc | 
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine | 
| Location | 2650 Lodge Rd Sw, Sherrodsville, Ohio | 
| Authorized Official Name and Position | Leigh Ann Thompson (SENIOR DIRECTOR) | 
| Authorized Official Contact | 6159214447 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Addiction Campuses Professional Services Of Ohio, Llc 205 Reidhurst Ave Nashville TN 37203-1618 Ph: () -  | Addiction Campuses Professional Services Of Ohio, Llc 2650 Lodge Rd Sw Sherrodsville OH 44675-9718 Ph: (330) 866-0916  | 
| NPI Number | 1255950739 | 
|---|---|
| Provider Enumeration Date | 04/14/2020 | 
| Last Update Date | 08/17/2020 | 
| Certification Date | 08/17/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255950739 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary | 
Addiction Campuses Of Ohio Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 Lodge Rd Sw, Sherrodsville, OH 44675 Phone: 615-921-4444  |