Healthcare Provider Details

I. General information

NPI: 1073220364
Provider Name (Legal Business Name): HEALING HANDS OF OHIO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2022
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2599B TILLER LN STE 2
COLUMBUS OH
43231-2267
US

IV. Provider business mailing address

2599B TILLER LN STE 2
COLUMBUS OH
43231-2267
US

V. Phone/Fax

Practice location:
  • Phone: 614-463-0772
  • Fax:
Mailing address:
  • Phone: 614-463-0772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANASTASIA OFEWAA GYESAW ABANKWAH
Title or Position: PRACTICE OWNER
Credential: RN
Phone: 614-463-0772