# OHIO CENTER FOR ADOLESCENT WELLNESS 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417772971
- **Authorized official:** EDWARD THATCHER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (754) 217-8127

## Contact information

- **Practice address:** 150 E WILSON BRIDGE RD STE 100, WORTHINGTON, OH 43085-2328
- **Practice address phone:** (888) 920-6370
- **Mailing address:** 150 E WILSON BRIDGE RD STE 100, WORTHINGTON, OH 43085-2328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2024
- **Last updated:** 11/20/2024