Healthcare Provider Details

I. General information

NPI: 1417771783
Provider Name (Legal Business Name): COMFORT CORNER THERAPY AND CONSULTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 12/07/2024
Certification Date: 12/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3357 GOLDEN MEADOW CT
POWELL OH
43065-5163
US

IV. Provider business mailing address

1747 OLENTANGY RIVER RD # 1018
COLUMBUS OH
43212-1453
US

V. Phone/Fax

Practice location:
  • Phone: 614-356-7788
  • Fax:
Mailing address:
  • Phone: 614-356-7788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102X00000X
TaxonomyPoetry Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SAKIERA MALONE
Title or Position: OWNER AND LEAD THERAPIST
Credential: LCSW
Phone: 216-236-4904