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Organization

AXON COLUMBUS, LLC

Active
Parent organization
AXON HEALTH ASSOCIATES, LLC
Other names
Axon Health Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
AXON HEALTH ASSOCIATES, LLC
Authorized official
JERAD DALTON DO (MEMBER)
(317) 402-8992
Entity
Organization

Contact information

Practice address
2675 FOX POINTE DR STE B, COLUMBUS, IN 47203-3391
(812) 665-0181
(812) 605-0183
Mailing address
9245 N MERIDIAN ST STE 300, INDIANAPOLIS, IN 46260-1832
(317) 818-9000
(317) 818-9009

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
Primary
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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