Provider Demographics
NPI:1225990385
Name:INNER PEACE BEHAVIORAL HEALTH AND ADDITION SERVICES
Entity type:Organization
Organization Name:INNER PEACE BEHAVIORAL HEALTH AND ADDITION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANAE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRAE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-597-2811
Mailing Address - Street 1:3914 NEWTON ABBEY LN
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-2508
Mailing Address - Country:US
Mailing Address - Phone:614-597-2811
Mailing Address - Fax:
Practice Address - Street 1:3914 NEWTON ABBEY LN
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-2508
Practice Address - Country:US
Practice Address - Phone:614-597-2811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-26
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp