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.
Organization
SEAN PHILLIPS RECOVERY CENTER LLC
Active
Organization
SEAN PHILLIPS RECOVERY CENTER LLC
Active
Other names
Sean Phillips Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHAUNCEY D WALLACE (CHIEF EXECUTIVE OFFICER)
(614) 832-7647
Entity
Organization
Contact information
Practice address
695 S MOUNT VERNON AVE, LOUDONVILLE, OH 44842-1414
(614) 832-7647
Mailing address
604 OFFICE PKWY, WESTERVILLE, OH 43082-7938
(614) 430-9590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215407945
—
OH
Enumeration date
02/15/2023
Last updated
02/15/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up