Healthcare Provider Details

I. General information

NPI: 1770102089
Provider Name (Legal Business Name): DAY ONE INTEGRATIVE SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2020
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 N MAIN ST
MARION OH
43302-1736
US

IV. Provider business mailing address

827 N MAIN ST
MARION OH
43302-1736
US

V. Phone/Fax

Practice location:
  • Phone: 740-914-5000
  • Fax: 740-914-5005
Mailing address:
  • Phone: 740-914-5000
  • Fax: 740-914-5005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANNON D BISHOP
Title or Position: CHIEF PROGRAM OFFICER
Credential:
Phone: 207-602-8683