Healthcare Provider Details
I. General information
NPI: 1568975795
Provider Name (Legal Business Name): UNIFIED HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/09/2017
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7243 SAWMILL RD STE 105
DUBLIN OH
43016-5005
US
IV. Provider business mailing address
7243 SAWMILL RD STE 105
DUBLIN OH
43016-5005
US
V. Phone/Fax
- Phone: 614-389-3814
- Fax: 614-389-3841
- Phone: 614-389-3814
- Fax: 514-389-3841
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELLE
M
MEYER
Title or Position: OWNER/PROVIDER
Credential: NP
Phone: 614-389-3814