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

Moundbuilders Guidance Center

Organization Psychiatry Physician · NPI 1366684342

Moundbuilders Guidance Center is a Psychiatry Physician in Newark, Ohio. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1445 W Main St
Newark, OH 43055-1989
Phone: (740) 522-8477
Fax: (740) 522-2941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1366684342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Edelblute — Chief Operating Officer · (740) 522-8477
NPI enumeratedApril 6, 2009
Last updated in NPPESApril 6, 2009
Mailing address65 Messimer Dr, Newark, OH 43055-1874

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