| Addiction Campuses Of Ohio Llc | |
|
2650 Lodge Rd Sw Sherrodsville OH 44675-9718 | |
| (615) 921-4444 | |
| Not Available |
| Full Name | Addiction Campuses Of Ohio Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| 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 Of Ohio Llc 205 Reidhurst Ave Nashville TN 37203-1618 Ph: (615) 921-4447 | Addiction Campuses Of Ohio Llc 2650 Lodge Rd Sw Sherrodsville OH 44675-9718 Ph: (615) 921-4444 |
| NPI Number | 1174057004 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 12/07/2021 |
| Certification Date | 12/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174057004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 201708802010 (Ohio) | Primary |
Addiction Campuses Professional Services Of Ohio, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 Lodge Rd Sw, Sherrodsville, OH 44675 Phone: 330-866-0916 Fax: 330-556-4023 |