Healthcare Provider Details

I. General information

NPI: 1427970524
Provider Name (Legal Business Name): MAAT MENTAL HEALTH & WELLNESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3296 WESTERVILLE RD RM 10
COLUMBUS OH
43224-3790
US

IV. Provider business mailing address

3296 WESTERVILLE RD RM 10 296
COLUMBUS OH
43224-3790
US

V. Phone/Fax

Practice location:
  • Phone: 326-212-0108
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: DR. TIFFANY G PORTER
Title or Position: CEO
Credential: PSYD
Phone: 216-870-9457