Healthcare Provider Details

I. General information

NPI: 1083447155
Provider Name (Legal Business Name): ZIGRID HARMON CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MADELYN LOSHER CDCA

II. Dates (important events)

Enumeration Date: 08/23/2024
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6770 AVERY MUIRFIELD DR
DUBLIN OH
43017-1241
US

IV. Provider business mailing address

940 E NORTH BROADWAY ST
COLUMBUS OH
43224-4061
US

V. Phone/Fax

Practice location:
  • Phone: 888-251-2365
  • Fax:
Mailing address:
  • Phone: 614-407-3956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: