Healthcare Provider Details

I. General information

NPI: 1053275438
Provider Name (Legal Business Name): IFTIN PSYCHIATRY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 E DUBLIN GRANVILLE RD STE 301C
COLUMBUS OH
43231-4030
US

IV. Provider business mailing address

2999 E DUBLIN GRANVILLE RD STE 301C
COLUMBUS OH
43231-4030
US

V. Phone/Fax

Practice location:
  • Phone: 614-508-1673
  • Fax: 614-508-1673
Mailing address:
  • Phone: 614-508-1673
  • Fax: 614-508-1673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: ARDO DAHIR
Title or Position: OWNER / AUTHORIZED OFFICIAL
Credential: APRN,CNP, PMHNP-BC
Phone: 614-929-0959