# HIGHLIFE ADDICTION MEDICINE AND COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HIGHLIFE HEALTH LLC
- **Other names:** Highlife Addiction Medicine and Counseling
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568913283
- **Legal business name:** HIGHLIFE HEALTH LLC
- **Authorized official:** JONATHAN LEE HAIMES MD (MM/CEO)
- **Authorized official phone:** (216) 543-4843

## Contact information

- **Practice address:** 5925 CLEVELAND AVE, SUITE C, COLUMBUS, OH 43231-2208
- **Practice address phone:** (740) 601-6071
- **Practice address fax:** (800) 275-2415
- **Mailing address:** 5925 CLEVELAND AVE, SUITE C, COLUMBUS, OH 43231-2208
- **Mailing address phone:** (740) 601-6071
- **Mailing address fax:** (800) 275-2415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 35066575 | OH | Yes |

## Other

- **Enumeration date:** 10/18/2016
- **Last updated:** 10/18/2016