SELAH HOUSE LLC NPI 1083383129

NPI Information

NPI: 1083383129
Provider Name: SELAH HOUSE, LLC

Doing Business As: ASTER SPRINGS JEFFERSONVILLE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4500 TOWN CENTER BLVD
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 389-8685
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SELAH HOUSE, LLC is a mental health (including community mental health center) clinic center in Jeffersonville, IN. SELAH HOUSE, LLC NPI is 1083383129. The provider is registered as an organization entity type.
The provider Is Doing Business As Aster Springs Jeffersonville.

The provider's business location address is:

4500 TOWN CENTER BLVD
JEFFERSONVILLE, IN
ZIP 47130-148
Phone: (812) 389-8685
Fax: (812) 315-3250

The provider's authorized official is Scott Sarnacke .
The authorized official title is Cfo and has the following contact phone number (615) 864-8145.

The CLIA number assigned to this NPI record is 15D2259605 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2021 and was last updated on 6/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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