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Organization
COLUMN HEALTH, LLC
Active
Organization
COLUMN HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY NIEMAN (DIRECTOR OF CREDENTIALING)
(513) 873-1269
Entity
Organization
Contact information
Practice address
290 MERRIMACK ST STE 106, LAWRENCE, MA 01843-2160
(833) 510-4357
(866) 460-2997
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1942434311
MA
261Q00000X
Clinic/Center
Primary
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QM2800X
Methadone Clinic
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102199A
—
MA
Enumeration date
11/17/2014
Last updated
09/30/2024
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