Healthcare Provider Details

I. General information

NPI: 1710843271
Provider Name (Legal Business Name): DAYS OF OUR LIVES MENTAL HEALTH AND RESIDENTIAL HOUSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3331 E LIVINGSTON AVE
COLUMBUS OH
43227-1923
US

IV. Provider business mailing address

3331 E LIVINGSTON AVE
COLUMBUS OH
43227-1923
US

V. Phone/Fax

Practice location:
  • Phone: 614-805-6175
  • Fax:
Mailing address:
  • Phone: 614-805-6175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MARY WATSON
Title or Position: CEO
Credential:
Phone: 614-805-6175