Healthcare Provider Details

I. General information

NPI: 1992618268
Provider Name (Legal Business Name): GIRLS&GOALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2164 YELLOW PINE AVE
COLUMBUS OH
43229-4622
US

IV. Provider business mailing address

2164 YELLOW PINE AVE
COLUMBUS OH
43229-4622
US

V. Phone/Fax

Practice location:
  • Phone: 614-508-3226
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: BROOKE JAMES
Title or Position: CEO
Credential:
Phone: 614-508-3226