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W. Joseph Hambor Lisw-s
Adolescent and Children Mental Health Clinic/Center in Pickerington, Ohio
NPI 1972992576

W. Joseph Hambor Lisw-s is an Adolescent and Children Mental Health Clinic/Center based in Pickerington, OH and is specialized in Adolescent and Children Mental Health. W. Joseph Hambor Lisw-s practices in Pickerington, OH. The NPI Number for W. Joseph Hambor Lisw-s is 1972992576 and holds a License No. I0003808 (Ohio).

The current practice location address for W. Joseph Hambor Lisw-s is 5 W Church St, Pickerington, OH and can be reached out via phone at 614-787-3843 and via fax at 614-321-6253. You can also correspond with W. Joseph Hambor Lisw-s through the mailing address at 5 W CHURCH ST, PICKERINGTON, OH - 43147-1210 (mailing address contact number: 614-787-3843).

Location: 5 W Church St, Pickerington, OH, 43147-1210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972992576
Provider Name
W. Joseph Hambor Lisw-s
Credential
Provider Entity Type
Organization
Address
5 W Church St, Pickerington, OH, 43147-1210
Phone Number
614-787-3843
Fax Number
614-321-6253
Provider Enumeration Date
01/20/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9111115 05 OH
SW35281 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
5 W Church St
City
Pickerington
State
Ohio
Zip
43147-1210
Phone Number
614-787-3843
Fax Number
614-321-6253
person
Provider Business Mailing Address Details
Address
5 W Church St
City
Pickerington
State
Ohio
Zip
43147-1210
Phone Number
614-787-3843
Fax Number
614-321-6253
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
I0003808 (Ohio)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
I0003808 (Ohio)
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.
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