Healthcare Provider Details

I. General information

NPI: 1538063466
Provider Name (Legal Business Name): F.F. VETERANS HOLISTIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1561 OLD LEONARD AVE
COLUMBUS OH
43219-2580
US

IV. Provider business mailing address

1561 OLD LEONARD AVE
COLUMBUS OH
43219-2580
US

V. Phone/Fax

Practice location:
  • Phone: 614-815-3396
  • Fax:
Mailing address:
  • Phone: 614-815-3396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0812X
TaxonomyCommunity Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. YYVETTE N MCKENZIE
Title or Position: CEO
Credential: MA (LPN), MBA, MSIT,
Phone: 317-771-0739