Healthcare Provider Details

I. General information

NPI: 1447644703
Provider Name (Legal Business Name): NOTHING INTO SOMETHING REAL ESTATE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 05/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1561 OLD LEONARD AVE
COLUMBUS OH
43219-2580
US

IV. Provider business mailing address

1561 OLD LEONARD AVE
COLUMBUS OH
43219-2580
US

V. Phone/Fax

Practice location:
  • Phone: 614-253-8969
  • Fax:
Mailing address:
  • Phone: 614-253-8969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number76495
License Number StateOH

VIII. Authorized Official

Name: MRS. MICHELE REYNOLDS
Title or Position: EXECUTIVE DIRECTOR/ FOUNDER
Credential: M.A.
Phone: 614-253-8969