Healthcare Provider Details

I. General information

NPI: 1255133492
Provider Name (Legal Business Name): THERAPEASE WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6057 ARRAN CT
DUBLIN OH
43017-8546
US

IV. Provider business mailing address

6057 ARRAN CT
DUBLIN OH
43017-8546
US

V. Phone/Fax

Practice location:
  • Phone: 740-812-1742
  • Fax:
Mailing address:
  • Phone: 740-812-1742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNIFER MANAZER
Title or Position: OWNER
Credential: DNP, APRN-CNP, PMHNP
Phone: 740-812-1742