Healthcare Provider Details

I. General information

NPI: 1053253047
Provider Name (Legal Business Name): BIRDSONG WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8050 BECKETT CENTER DR STE 126
WEST CHESTER OH
45069-5029
US

IV. Provider business mailing address

8050 BECKETT CENTER DR STE 126
WEST CHESTER OH
45069-5029
US

V. Phone/Fax

Practice location:
  • Phone: 513-341-8022
  • Fax:
Mailing address:
  • Phone: 513-341-8022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA D PRICE
Title or Position: OWNER
Credential: LISW, LICDC
Phone: 513-313-5789