# CONNECTING HEMISPHERES BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245917392
- **Authorized official:** HEATHER STEWART-MODIC (NP)
- **Authorized official phone:** (614) 374-8865

## Contact information

- **Practice address:** 40 W 4TH ST STE 114, MANSFIELD, OH 44902-1206
- **Practice address phone:** (614) 374-8865
- **Practice address fax:** (949) 695-2511
- **Mailing address:** PO BOX 9031, LEXINGTON, OH 44904-9031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2023
- **Last updated:** 06/30/2023