# UMCH FAMILY SERVICES

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

## Provider details

- **NPI number:** 1386987386
- **Authorized official:** SEAN REILLY LISW-S (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (614) 885-5020

## Contact information

- **Practice address:** 431 E BROAD ST, COLUMBUS, OH 43215-4004
- **Practice address phone:** (614) 885-5020
- **Practice address fax:** (614) 885-4058
- **Mailing address:** 431 E BROAD ST, COLUMBUS, OH 43215-4004
- **Mailing address phone:** (614) 885-5020
- **Mailing address fax:** (614) 885-4058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | C.0900670 | OH | Yes |

## Other

- **Enumeration date:** 03/28/2013
- **Last updated:** 09/22/2021