Healthcare Provider Details

I. General information

NPI: 1770427486
Provider Name (Legal Business Name): POPPY'S THERAPEUTIC CORNER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 GLENSPRINGS DR STE 301
SPRINGDALE OH
45246-2354
US

IV. Provider business mailing address

415 GLENSPRINGS DR STE 301
SPRINGDALE OH
45246-2354
US

V. Phone/Fax

Practice location:
  • Phone: 513-570-4068
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER SHEARD
Title or Position: OWNER
Credential:
Phone: 513-570-4068