Healthcare Provider Details
I. General information
NPI: 1053220889
Provider Name (Legal Business Name): R2 THERAPY & CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1356 E INNIS AVE
COLUMBUS OH
43207-2132
US
IV. Provider business mailing address
1356 E INNIS AVE
COLUMBUS OH
43207-2132
US
V. Phone/Fax
- Phone: 614-531-8762
- Fax:
- Phone: 614-531-8762
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
MONIQUA
BROWN
Title or Position: OWNER/FOUNDER
Credential: LISW
Phone: 614-531-8762