Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Asur Supported Living Services LLC

Organization Intellectual & Developmental Disabilities Psychologist · NPI 1750250494

Asur Supported Living Services LLC is an Intellectual & Developmental Disabilities Psychologist in Columbus, Ohio. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5150 E Main St Lowr Level
Columbus, OH 43213-2441
Phone: (614) 419-9493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X

Record details

NPI number1750250494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tawain Gordon Jr — Managing Member · (614) 946-5504
NPI enumeratedOctober 31, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address5150 E Main St Lowr Level, Columbus, OH 43213-2441

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