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Erica D Gore
Adolescent and Children Mental Health Clinic/Center in Columbus, Ohio
NPI 1629775846

Erica D Gore is an Adolescent and Children Mental Health Clinic/Center based in Columbus, OH and is specialized in Adolescent and Children Mental Health. Erica D Gore practices in Columbus, OH. The NPI Number for Erica D Gore is 1629775846 and holds a License No. (Ohio).

The current practice location address for Erica D Gore is 1533 Duxberry Ave, Columbus, OH and can be reached out via phone at 614-357-1937. You can also correspond with Erica D Gore through the mailing address at 1533 DUXBERRY AVE, COLUMBUS, OH - 43211-1619 (mailing address contact number: 614-357-1937).

Location: 1533 Duxberry Ave, Columbus, OH, 43211-1619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629775846
Provider Name
Erica D Gore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1533 Duxberry Ave, Columbus, OH, 43211-1619
Phone Number
614-357-1937
Fax Number
Provider Enumeration Date
02/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1533 Duxberry Ave
City
Columbus
State
Ohio
Zip
43211-1619
Phone Number
614-357-1937
Fax Number
person
Provider Business Mailing Address Details
Address
1533 Duxberry Ave
City
Columbus
State
Ohio
Zip
43211-1619
Phone Number
614-357-1937
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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