Organization
OHIO PSYCHIATRIC CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH GOODMAN (ADMINISTRATOR)
(614) 526-4510
Entity
Organization
Contact information
Practice address
232 N MAIN ST STE B, MARYSVILLE, OH 43040-1100
(614) 526-4510
Mailing address
20467 RAYMOND RD, MARYSVILLE, OH 43040-8851
(614) 832-4264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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