Healthcare Provider Details

I. General information

NPI: 1811418809
Provider Name (Legal Business Name): EVERY FITT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3962 N HAMPTON DR
POWELL OH
43065-8430
US

IV. Provider business mailing address

3962 N HAMPTON DR
POWELL OH
43065-8430
US

V. Phone/Fax

Practice location:
  • Phone: 614-388-9147
  • Fax: 614-358-6536
Mailing address:
  • Phone: 614-388-9147
  • Fax: 614-358-6536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBERLY A RIDOUT
Title or Position: OWNER
Credential: LISW-S
Phone: 614-388-9147