# COLLABORATIVE PSYCHIATRY

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

## Provider details

- **NPI number:** 1639983984
- **Authorized official:** DR. GRIFFIN STOUT MD (CEO AND PSYCHIATRIST)
- **Authorized official phone:** (614) 259-8480

## Contact information

- **Practice address:** 6055 TAIN DR STE 103, DUBLIN, OH 43017-8449
- **Practice address phone:** (614) 259-8480
- **Practice address fax:** (614) 591-3952
- **Mailing address:** 6055 TAIN DR STE 103, DUBLIN, OH 43017-8449
- **Mailing address phone:** (614) 259-8480
- **Mailing address fax:** (614) 591-3952

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2025
- **Last updated:** 02/06/2025