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Organization

PORCHLIGHT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANDI PIERSON LISW-S (DIRECTOR-CLINICIAN)
(614) 289-8659
Entity
Organization

Contact information

Practice address
1115 BETHEL RD, COLUMBUS, OH 43220-2690
(614) 289-8659
Mailing address
891 S RICHARDSON AVE, COLUMBUS, OH 43204-2730
(937) 207-7216

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
04/05/2021
Last updated
04/05/2021
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