Healthcare Provider Details

I. General information

NPI: 1134062193
Provider Name (Legal Business Name): TENACIOUS HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5340 E MAIN ST STE 107
COLUMBUS OH
43213-2574
US

IV. Provider business mailing address

5340 E MAIN ST STE 107
COLUMBUS OH
43213-2574
US

V. Phone/Fax

Practice location:
  • Phone: 614-604-7234
  • Fax: 614-604-7247
Mailing address:
  • Phone: 614-604-7234
  • Fax: 614-604-7247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SHAWNTEL WRIGHT
Title or Position: CEO/DOO
Credential:
Phone: 614-604-7234