Healthcare Provider Details

I. General information

NPI: 1164182689
Provider Name (Legal Business Name): MEHKYE ASSYRIAN GIVENS NMD, LEHP, SMN, OLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SELAH ASHERAH GIVENS NMD, LEHP, SMN, OLO,

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 5TH ST SW
MASSILLON OH
44647-6519
US

IV. Provider business mailing address

850 TWIN RIVERS DR UNIT 1930
COLUMBUS OH
43216-8065
US

V. Phone/Fax

Practice location:
  • Phone: 330-222-3200
  • Fax: 326-888-7957
Mailing address:
  • Phone: 330-222-3200
  • Fax: 326-888-7957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberP202306080001
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: