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Organization

EXPERIENCES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON D TERRELL (EXECUTIVE DIRECTOR)
(614) 584-4498
Entity
Organization

Contact information

Practice address
3942 E MAIN ST STE 3, COLUMBUS, OH 43213-2949
(614) 322-9388
Mailing address
PO BOX 13056, COLUMBUS, OH 43213-0056
(614) 584-4498

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
11/07/2024
Last updated
05/12/2025
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