Healthcare Provider Details

I. General information

NPI: 1518885334
Provider Name (Legal Business Name): MOMMY AND ME LEGACY FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4235 KIMBERLY PKWY
COLUMBUS OH
43232-7224
US

IV. Provider business mailing address

4235 KIMBERLY PKWY
COLUMBUS OH
43232-7224
US

V. Phone/Fax

Practice location:
  • Phone: 614-805-0135
  • Fax: 614-986-7224
Mailing address:
  • Phone: 614-805-0135
  • Fax: 614-986-7224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PORCHEA WAYS
Title or Position: PRESIDENT
Credential:
Phone: 614-805-0135