State of Ohio
Organization Active NPI Community/Behavioral Health Agency · London, OH
NPI 1902218779 · NPPES record last updated May 28, 2014
Key facts
- NPI
- 1902218779
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 6854 (OH)
- Legal business name
- STATE OF OHIO
- Practice address
- 1580 State Route 56 SW
London Correctional Institution
London, OH 43140-8623 - Phone
- (740) 852-2454
- NPI assigned
- May 28, 2014
- Organization subpart
- No
Authorized official
- Name
- Princess Cripe, PSY.D.
- Title
- Staff Psychologist
- Phone
- (740) 852-2454
Corporate family (same tax ID) 5
Practitioners 6
-
Veronica Denise Bellamy, LICDC 161589
-
Trina Marie Bottorff, NP-C
-
Kimberly Irene Kohli, PH.D
-
Dona Langdon, R.D.H.
-
Willie Deeanjlo0 White, LICDC-CS
National Provider Directory
- Tax ID family
- Portsmouth Receiving Ho
Locations
1580 State Route 56 SW
London, OH 43140
Phone (740) 845-9777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6854 | OH | Yes |
Addresses
Primary practice location
1580 State Route 56 SW
London Correctional Institution
London, OH 43140-8623
Mailing address
1049 Seacove Cir
Apt. G
London, OH 43140-9134
Phone (740) 852-2454
Other providers in London, OH
- Heidi Snyder
- Kelly Snyder
- Jennifer R Sogan
- Kandy L Sollars
- John C Starr
- Morgan L. Steiskal
- Stephanie Tobin Counseling, LLC
- Debra Renee Stepp
- Linda Stier
- Elizabeth Kaye Stonerock
All providers in London, OH · Community/Behavioral Health Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.