Healthcare Provider Details

I. General information

NPI: 1235938366
Provider Name (Legal Business Name): STILL THIRSTY MENTAL HEALTH & CONSULTING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 E MAIN ST STE 202
COLUMBUS OH
43213-2598
US

IV. Provider business mailing address

2957 STELZER RD
COLUMBUS OH
43219-3025
US

V. Phone/Fax

Practice location:
  • Phone: 614-448-3718
  • Fax:
Mailing address:
  • Phone: 614-448-3718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: TYLONDIA M. JONES
Title or Position: FOUNDER & CLINICAL DIRECTOR
Credential: LISW
Phone: 614-448-3718