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MOHICAN YOUTH ACADEMY LLC
NPI 1801208582
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Perrysville, OH

Active since May 29, 2014
1012 ODNR MOHICAN 51, PERRYSVILLE, OH 44864(419) 994-0300 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mohican Youth Academy Llc NPPES

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

MOHICAN YOUTH ACADEMY LLC (NPI 1801208582) is a healthcare organization registered as a substance abuse treatment, children in Perrysville, Ohio and active in the NPI registry since May 2014. The organization lists Wendy Bruno, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1801208582
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameMOHICAN YOUTH ACADEMY LLC
Location Address1012 ODNR MOHICAN 51Perrysville, OH 44864-9407
Mailing Address1012 Odnr Mohican 51Perrysville, OH 44864-9407
Phone(419) 994-0300
Organization SubpartNo
Authorized OfficialWendy BrunoCredentialing · (614) 556-4616
Enumeration DateMay 29, 2014
Last NPPES UpdateJanuary 22, 2018
✔ NPI 1801208582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
License✔ Licensed in OH · 13519
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
1012 ODNR MOHICAN 51, Perrysville, OH 44864
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Other Providers at the Same Location NPPES 20

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

LISA DOSTER CDCA
Case Manager/Care Coordinator
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
MATTHEW STEVENS QBHS
Case Manager/Care Coordinator
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
CHASIDY CAMPBELL QBHS
Case Manager/Care Coordinator
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
REGAN M MEIER LISW
Social Worker (Clinical)
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
KATIE MARIE CLEVER
Counselor (Addiction (Substance Use Disorder))
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
WILLIAM PETERSEN
Case Manager/Care Coordinator
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
MOHICAN YOUTH ACADEMY
Psychiatry & Neurology (Neurodevelopmental Disabilities)
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
ISIAH SIMMONS QBHS
Case Manager/Care Coordinator
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300

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 Mohican Youth Academy LLC's NPI number?

The NPI number for Mohican Youth Academy LLC is 1801208582. It was assigned to this organization in the NPPES registry on May 29, 2014.

Where is Mohican Youth Academy LLC located?

Mohican Youth Academy LLC is located at 1012 Odnr Mohican 51, Perrysville, OH 44864. The listed phone number is (419) 994-0300.

What is Mohican Youth Academy LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Mohican Youth Academy LLC was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.