Southeast, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LICDC.151123 Issued in OH

Legal business name

SOUTHEAST, INC.

Practice address

1455 S 4TH St
Columbus, OH 43207-1011

Phone

(614) 444-0800

NPI assigned

Mar 29, 2017

Last updated

Mar 29, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mandy Reber

Title

Adult Therapist

Phone

(614) 444-0800

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1790217859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S 4TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S 4TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071011",
            "telephone_number": "614-444-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "REBER",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "ADULT THERAPIST",
        "authorized_official_telephone_number": "614-444-0800"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "LICDC.151123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast, Inc
• Southeast, Inc
• Southeast, Inc.
• Southeast, Inc.
• Southeast, Inc.
• Southeast, Inc.
• Southeast, Inc.
• Lauren Talanda-Fath Southerland, M.D.
• Southern Medical Clinic
• Southern Vision Center, Inc.

• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.