DIRECTLY AFFECTED LLC NPI 1144939588

NPI Information

NPI: 1144939588
Provider Name: DIRECTLY AFFECTED LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1206 WALLER
PORTSMOUTH, OH
ZIP 45662
Phone: (614) 980-2116
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DIRECTLY AFFECTED LLC is a rehabilitation and substance use disorder clinic center in Portsmouth, OH. DIRECTLY AFFECTED LLC NPI is 1144939588. The provider is registered as an organization entity type.

The provider's business location address is:

1206 WALLER
PORTSMOUTH, OH
ZIP 45662
Phone: (614) 980-2116

The provider's authorized official is Dominique Myrick .
The authorized official title is Owner and has the following contact phone number (614) 980-2116.

The enumeration date for this NPI number is 11/15/2022 and was last updated on 11/22/2022.

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	Primary
1	251B00000X	Case Management		No
2	251S00000X	Community/Behavioral Health		No
3	253J00000X	Foster Care Agency		No
4	253Z00000X	In Home Supportive Care		No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
6	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
7	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	No
8	273R00000X	Psychiatric Unit		No
9	276400000X	Rehabilitation, Substance Use Disorder Unit		No
10	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		No
11	323P00000X	Psychiatric Residential Treatment Facility		No
12	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
13	385H00000X	Respite Care		No
14	405300000X	Prevention Professional		No
15	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	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

NPI Synchronization or Removal

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