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HOLISTIC PSYCHIATRY AND ANTI-AGING MEDICINE LLC NPI 1265733885


NPI Information

NPI: 1265733885
Provider Name: HOLISTIC PSYCHIATRY AND ANTI-AGING MEDICINE LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2939 KENNY RD
SUITE 180
COLUMBUS, OH
ZIP 43221
Phone: (740) 403-2672
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HOLISTIC PSYCHIATRY AND ANTI-AGING MEDICINE LLC is a specialist in Columbus, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HOLISTIC PSYCHIATRY AND ANTI-AGING MEDICINE LLC NPI is 1265733885. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2939 KENNY RD
SUITE 180
COLUMBUS, OH
ZIP 43221-406
Phone: (740) 403-2672
Fax: (614) 457-0834

The provider's authorized official is Linda Sue Rings .
The authorized official title is Office Manager and has the following contact phone number (614) 596-8599.

The enumeration date for this NPI number is 11/12/2010 and was last updated on 3/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist35.044652OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11710077664OTHEROHIOEIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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