Organization
BHEALTHY FOR LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA IRENE CLAGG LISW-S, LICDC (CEO)
(614) 352-6807
Entity
Organization
Contact information
Practice address
31 SHERMAN AVE, COLUMBUS, OH 43205-1421
(614) 352-6807
(833) 463-1803
Mailing address
31 SHERMAN AVE, COLUMBUS, OH 43205-1421
(614) 352-6807
(833) 463-1803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0335849
—
OH
Enumeration date
04/12/2022
Last updated
06/17/2024
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