# COMMUNITY OHIO

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

## Provider details

- **NPI number:** 1952189433
- **Authorized official:** MRS. ROSALINDA LOGAN-PETERS CPPM,COBGC (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (731) 935-9267

## Contact information

- **Practice address:** 1730 S HIGH ST, COLUMBUS, OH 43207-1862
- **Practice address phone:** (614) 500-4150
- **Practice address fax:** (877) 540-0067
- **Mailing address:** 2321 TAYLOR PARK DR \# 1036, REYNOLDSBURG, OH 43068-8052
- **Mailing address phone:** (614) 500-4150
- **Mailing address fax:** (877) 540-0067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 171000000X | Military Health Care Provider | — | NULL | — |
| 171000000X | Military Health Care Provider | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2023
- **Last updated:** 09/18/2023