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PROFESSIONAL BEHAVIORAL SUPPORT LLC
NPI 1174201545
Clinic/Center - Mental Health (Including Community Mental Health Center) in Columbus, OH

Active since July 06, 2023
691 E DUBLIN GRANVILLE RD, COLUMBUS, OH 43229(614) 715-2154(614) 705-6577 Get Directions Write a Review

NPPES record last updated: December 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2023, Jul 6, 2023 (2 updates tracked since 2023).

About Professional Behavioral Support Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL BEHAVIORAL SUPPORT LLC (NPI 1174201545) is a healthcare organization registered as a mental health (including community mental health center) in Columbus, Ohio and active in the NPI registry since July 2023. The organization lists Elieth Kokwesiga Kamala, Pschiatric Nurse Practictitioner, as its authorized official.

NPPES Registry Identity

NPI1174201545
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePROFESSIONAL BEHAVIORAL SUPPORT LLC
Location Address691 E DUBLIN GRANVILLE RDColumbus, OH 43229-3209
Mailing Address691 E Dublin Granville RdColumbus, OH 43229-3209 · (614) 574-1824 · Fax (614) 420-2229
Phone(614) 715-2154
Fax(614) 705-6577
Organization SubpartNo
Authorized OfficialElieth Kokwesiga KamalaPschiatric Nurse Practictitioner · (614) 574-1823
Enumeration DateJuly 6, 2023
Last NPPES UpdateDecember 9, 20232 updates tracked since enumeration
NPPES CertifiedDecember 9, 2023
✔ NPI 1174201545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
691 E DUBLIN GRANVILLE RD, Columbus, OH 43229
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Other Names 1

Doing Business AsProfessional Behavioral Support Llc

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH A. WADEI APRN FNP-BC, FNP-C
Nurse Practitioner (Primary Care)
691 E DUBLIN GRANVILLE RD
COLUMBUS, OH 43229
Franklin County (614) 574-1823
ELIETH KOKWESIGA KAMALA
Nurse Practitioner (Psychiatric/Mental Health)
691 E DUBLIN GRANVILLE RD
COLUMBUS, OH 43229
Franklin County (614) 574-1823
DAVID NDIRANGU MBUGUA
Licensed Practical Nurse
691 E DUBLIN GRANVILLE RD
COLUMBUS, OH 43229
Franklin County (614) 601-6202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Behavioral Support LLC's NPI number?

The NPI number for Professional Behavioral Support LLC is 1174201545. It was assigned to this organization in the NPPES registry on July 6, 2023.

Where is Professional Behavioral Support LLC located?

Professional Behavioral Support LLC is located at 691 E Dublin Granville Rd, Columbus, OH 43229. The listed phone number is (614) 715-2154.

What is Professional Behavioral Support LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Professional Behavioral Support LLC was last updated on December 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.