Provider Demographics
NPI:1578941381
Name:JAY HASH LLC
Entity Type:Organization
Organization Name:JAY HASH LLC
Other - Org Name:HOPESOURCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO/CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LAWLER
Authorized Official - Last Name:HASH
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPCC-S LICDC-CS
Authorized Official - Phone:740-727-1520
Mailing Address - Street 1:800 GALLIA ST STE 600
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-4097
Mailing Address - Country:US
Mailing Address - Phone:740-353-4673
Mailing Address - Fax:740-353-5800
Practice Address - Street 1:800 GALLIA ST STE 600
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-4097
Practice Address - Country:US
Practice Address - Phone:740-727-1520
Practice Address - Fax:740-353-6627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH965698101YA0400X
OHE3127101YP2500X
261QR0405X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility