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NPI 1124674072 · Addiction (Substance Use Disorder) Counselor · Columbus, OH
Provider details
- NPI number
- 1124674072
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gamal Brown, Superintendent(614) 252-4656
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Local Education Agency (LEA)251300000X
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3377 Cleveland Ave
Columbus, OH 43224-3644
Phone: (614) 252-4656
Street-level locationGet directions
Mailing address
3377 Cleveland Ave
Columbus, OH 43224-3644
Other names (DBA / former)
- Doing business as
- Road to Success Academy
Registry dates
- Enumerated
- 2019-08-16
- Last updated
- 2019-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.