Provider Demographics
NPI:1629560172
Name:NEUROBEHAVIORAL MEDICINE CONSULTANTS, PC, INC.
Entity Type:Organization
Organization Name:NEUROBEHAVIORAL MEDICINE CONSULTANTS, PC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/COO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-968-7006
Mailing Address - Street 1:302 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-8801
Mailing Address - Country:US
Mailing Address - Phone:740-968-7006
Mailing Address - Fax:740-968-7256
Practice Address - Street 1:4697 HARRISON ST
Practice Address - Street 2:SUD UNIT
Practice Address - City:BELLAIRE
Practice Address - State:OH
Practice Address - Zip Code:43906
Practice Address - Country:US
Practice Address - Phone:740-968-7006
Practice Address - Fax:740-968-7256
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEUROBEHAVIORAL MEDICINE CONSULTANTS, PC, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit