Organization
EDEN COUNSELING CENTERS LLC
Active
Other names
Eden Counseling Centers LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDITH WAUGH (CHAIR, BOARD OF DIRECTORS)
(614) 398-3470
Entity
Organization
Contact information
Practice address
360 S GRANT AVE, COLUMBUS, OH 43215-5537
(614) 398-3470
(614) 340-3083
Mailing address
360 S GRANT AVE, COLUMBUS, OH 43215-5537
(614) 398-3470
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
34010652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150666
—
OH
Enumeration date
05/17/2016
Last updated
03/18/2021
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