Provider Demographics
NPI:1083294078
Name:ALN PSYCH AND BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:ALN PSYCH AND BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:BEBONGCHU
Authorized Official - Middle Name:
Authorized Official - Last Name:NKEMASONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-772-3476
Mailing Address - Street 1:1649 BRICE RD STE A
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2796
Mailing Address - Country:US
Mailing Address - Phone:614-812-0415
Mailing Address - Fax:614-812-0432
Practice Address - Street 1:6100 CHANNINGWAY BLVD STE 508
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-2910
Practice Address - Country:US
Practice Address - Phone:614-812-0415
Practice Address - Fax:614-812-0432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty