Provider Demographics
NPI:1265077317
Name:THE DEXTER INSTITUTE LLC
Entity type:Organization
Organization Name:THE DEXTER INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:COLLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEKES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:614-556-1149
Mailing Address - Street 1:5272 VICTORIA ST
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-8885
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:THE DEXTER INSTITUTE LLC
Practice Address - Street 2:511 MAIN STREET
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-1416
Practice Address - Country:US
Practice Address - Phone:614-556-1149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0262149Medicaid