Healthcare Provider Details

I. General information

NPI: 1679295588
Provider Name (Legal Business Name): SONDER PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2022
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3246 W HENDERSON RD
COLUMBUS OH
43220
US

IV. Provider business mailing address

3246 W HENDERSON RD
COLUMBUS OH
43220
US

V. Phone/Fax

Practice location:
  • Phone: 614-254-6604
  • Fax:
Mailing address:
  • Phone: 614-254-6604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARAH O'DONNELL
Title or Position: OWNER, CLINICIAL SOCIAL WORKER
Credential: LISW, PMH-C
Phone: 614-254-6604