MEDICARE: THE OTHER SIDE CONSULTING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1124812821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE OTHER SIDE CONSULTING, LLC

Provider Business Mailing Address
First Line	:	4253 ELLERY DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-3648
Country	:	US
Telephone Number	:	214-264-1337
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 E 1ST AVE STE 114
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43201-3792
Country	:	US
Telephone Number	:	214-264-1337
Fax Number	:

Authorized Official
Title or Position	:	OWNER, DIRECTOR OF CLINICAL SERVICE
Name	:	CARESS L LOFTIN
Credential	:	MSW, LISW-S
Telephone Number	:	214-264-1337

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	04/07/2025

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Directions to “THE OTHER SIDE CONSULTING, LLC ” Practice Location

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