| Youth Wellbeing Center Llc | |
|
466 N Cassady Ave Bexley OH 43209-1027 | |
| (614) 371-7293 | |
| (380) 210-7393 |
| Full Name | Youth Wellbeing Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 466 N Cassady Ave, Bexley, Ohio |
| Authorized Official Name and Position | Lisa Kelley (OWNER, PROVIDER) |
| Authorized Official Contact | 6143713632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Wellbeing Center Llc 466 N Cassady Ave Bexley OH 43209-1027 Ph: (614) 371-7293 | Youth Wellbeing Center Llc 466 N Cassady Ave Bexley OH 43209-1027 Ph: (614) 371-7293 |
| NPI Number | 1841084100 |
|---|---|
| Provider Enumeration Date | 04/09/2025 |
| Last Update Date | 04/22/2025 |
| Certification Date | 04/22/2025 |
| Medicare PECOS PAC ID | 3274058557 |
|---|---|
| Medicare Enrollment ID | O20250418001779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841084100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Karen Jenny Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407461312 PECOS PAC ID: 3072933290 Enrollment ID: I20201008002890 |
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