# ACCESS BEHAVIORAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ACCESS BEHAVIORAL LLC
- **Other names:** ACCESS HEALTH NETWORK
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194333286
- **Legal business name:** ACCESS BEHAVIORAL LLC
- **Authorized official:** SRINIVAS PONNERI (MANAGER)
- **Authorized official phone:** (614) 373-4202

## Contact information

- **Practice address:** 15047 STATE ROUTE 309, KENTON, OH 43326-9701
- **Practice address phone:** (419) 673-0595
- **Mailing address:** 15047 STATE ROUTE 309, KENTON, OH 43326-9701
- **Mailing address phone:** (419) 673-0595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2020
- **Last updated:** 07/15/2020