Healthcare Provider Details

I. General information

NPI: 1588559025
Provider Name (Legal Business Name): JOSHUA TREE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 N HIGH ST STE 401
COLUMBUS OH
43214-2635
US

IV. Provider business mailing address

4400 N HIGH ST STE 401
COLUMBUS OH
43214-2635
US

V. Phone/Fax

Practice location:
  • Phone: 614-715-5958
  • Fax:
Mailing address:
  • Phone: 614-715-5958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA TREE ADAMS
Title or Position: LISW-S, OWNER
Credential:
Phone: 614-715-5958