Organization
OUTREACH AND CRISIS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRAH FORREST (CHIEF FINANCIAL OFFICER)
(614) 285-5584
Entity
Organization
Contact information
Practice address
1547 W BROAD ST, COLUMBUS, OH 43222-1043
(614) 352-2620
(614) 675-2577
Mailing address
1547 W BROAD ST, COLUMBUS, OH 43222-1043
(614) 352-2620
(614) 675-2577
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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