Healthcare Provider Details

I. General information

NPI: 1114802063
Provider Name (Legal Business Name): MENDINGOH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2025
Last Update Date: 08/09/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4094 CHARTER OAK WAY
COLUMBUS OH
43219-6090
US

IV. Provider business mailing address

4094 CHARTER OAK WAY
COLUMBUS OH
43219-6090
US

V. Phone/Fax

Practice location:
  • Phone: 614-603-1843
  • Fax:
Mailing address:
  • Phone: 614-603-1843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TAMESKA NEWTON
Title or Position: CO OWNER
Credential: RN
Phone: 614-735-7214