Organization
CONNECTING HEMISPHERES BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER STEWART-MODIC (NP)
(614) 374-8865
Entity
Organization
Contact information
Practice address
40 W 4TH ST STE 114, MANSFIELD, OH 44902-1206
(614) 374-8865
(949) 695-2511
Mailing address
PO BOX 9031, LEXINGTON, OH 44904-9031
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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