Provider Demographics
NPI:1265818231
Name:TEAM BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:TEAM BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARLESTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-421-0500
Mailing Address - Street 1:1110 PENDLETON ST
Mailing Address - Street 2:1
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-8812
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1110 PENDLETON ST
Practice Address - Street 2:1
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-8812
Practice Address - Country:US
Practice Address - Phone:513-421-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health