| Bhealthy For Life, Llc | |
|
31 Sherman Ave Columbus OH 43205-1421 | |
| (614) 352-6807 | |
| (833) 463-1803 |
| Full Name | Bhealthy For Life, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 31 Sherman Ave, Columbus, Ohio |
| Authorized Official Name and Position | Virginia Irene Clagg (CEO) |
| Authorized Official Contact | 6143526807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhealthy For Life, Llc 31 Sherman Ave Columbus OH 43205-1421 Ph: (614) 352-6807 | Bhealthy For Life, Llc 31 Sherman Ave Columbus OH 43205-1421 Ph: (614) 352-6807 |
| NPI Number | 1376285080 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376285080 | NPI | - | NPPES |
| 0335849 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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