Aja Behavioral

LBN: Antonia Jensen & Associates, Llc
Aja Behavioral is an health care organization with primary practice located at 1115-1 N Shoop Ave , Wauseon OH 43567-1857. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Antonia Jensen & Associates, Llc can be contacted via phone (419) 335-6122, or through Grimolizzi-Jensen, Antonia Gracia via phone (419) 335-6122.

Contact Information

Primary practice address
1115-1 N Shoop Ave Wauseon OH 43567-1857
Phone: (419) 335-6122
Fax: (419) 318-4157
Website:
Map and Directions
Authorized official contact:
Name: Grimolizzi-Jensen, Antonia Gracia LISW-S, ACSW, MSSA
Phone: (419) 335-6122

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X I-7226 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X I-7226 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X I-7226 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-7226 Ohio

Profile Details

NPI number 1093772733
LBN Legal business name Antonia Jensen & Associates, Llc
DBA Doing business as Aja Behavioral
Authorized official Grimolizzi-Jensen, Antonia Gracia LISW-S, ACSW, MSSA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 17th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093772733 NPPES
Ohio Other 282524354005 MEDICAL MUTUAL
Ohio Other 000000371817 MEDICAL MUTUAL
Ohio Other 716572000 MEDICAL MUTUAL

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