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Organization
LIFE CENTERS FOR HEALING LLC
Active
Organization
LIFE CENTERS FOR HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ORLO PORTMAN (EXECUTIVE DIRECTOR)
(513) 254-1300
Entity
Organization
Contact information
Practice address
3571 COLUMBIA PKWY STE 1, CINCINNATI, OH 45226-2137
(513) 254-1300
Mailing address
3571 COLUMBIA PKWY STE 1, CINCINNATI, OH 45226-2137
(513) 254-1300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
10/09/2018
Last updated
09/24/2025
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