Healthcare Provider Details

I. General information

NPI: 1710845730
Provider Name (Legal Business Name): REDEFINING EMPOWERMENT CENTER INC. (REC)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1561 OLD LEONARD AVE
COLUMBUS OH
43219-2580
US

IV. Provider business mailing address

520 HILL RD N UNIT 182
PICKERINGTON OH
43147-6508
US

V. Phone/Fax

Practice location:
  • Phone: 614-655-4300
  • Fax: 614-695-5300
Mailing address:
  • Phone: 614-655-4300
  • Fax: 614-695-5300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JESSE SANDERS
Title or Position: CEO & CHIEF CLINICAL MENTAL HEALTH
Credential: PH.D.
Phone: 614-655-4300