Healthcare Provider Details

I. General information

NPI: 1801481403
Provider Name (Legal Business Name): CENTERING WHOLENESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 02/11/2022
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 RIVERSIDE DR STE 352
COLUMBUS OH
43221-4012
US

IV. Provider business mailing address

2025 RIVERSIDE DR STE 352
COLUMBUS OH
43221-4012
US

V. Phone/Fax

Practice location:
  • Phone: 740-803-3821
  • Fax:
Mailing address:
  • Phone: 740-803-3821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALICE MILLS MAI
Title or Position: FOUNDER/DIRECTORR
Credential: LMHC, LPCC-S, NCC
Phone: 740-803-3821