Healthcare Provider Details

I. General information

NPI: 1538960950
Provider Name (Legal Business Name): RHIZOME THERAPY COOPERATIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 BURNS ST
CINCINNATI OH
45204-1942
US

IV. Provider business mailing address

605 BURNS ST
CINCINNATI OH
45204-1942
US

V. Phone/Fax

Practice location:
  • Phone: 513-409-0808
  • Fax:
Mailing address:
  • Phone: 513-205-3059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NERN EARNEST OSTENDORF
Title or Position: THERAPIST, FOUNDER
Credential: LISW
Phone: 513-205-3059