Provider Demographics
NPI:1780397380
Name:MY HILLTOP BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:MY HILLTOP BEHAVIORAL HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTABEL
Authorized Official - Middle Name:ABENA
Authorized Official - Last Name:AHENKAN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:614-515-7884
Mailing Address - Street 1:1925 E DUBLIN GRANVILLE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3517
Mailing Address - Country:US
Mailing Address - Phone:614-515-7884
Mailing Address - Fax:
Practice Address - Street 1:1925 E DUBLIN GRANVILLE RD STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3517
Practice Address - Country:US
Practice Address - Phone:614-515-7884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health