# COLUMN HEALTH, LLC

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

## Provider details

- **NPI number:** 1861898934
- **Authorized official:** AMY NIEMAN (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (513) 873-1269

## Contact information

- **Practice address:** 290 MERRIMACK ST STE 106, LAWRENCE, MA 01843-2160
- **Practice address phone:** (833) 510-4357
- **Practice address fax:** (866) 460-2997
- **Mailing address:** 4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
- **Mailing address phone:** (833) 510-4357
- **Mailing address fax:** (866) 460-2997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | 1942434311 | MA | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 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

- **Enumeration date:** 11/17/2014
- **Last updated:** 09/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110102199A | — | MA |