Healthcare Provider Details

I. General information

NPI: 1023821170
Provider Name (Legal Business Name): NP ADVANTAGE MENTAL HEALTH AND RECOVERY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 MERIDIAN WAY STE 147
WESTERVILLE OH
43082-2301
US

IV. Provider business mailing address

670 MERIDIAN WAY STE 147
WESTERVILLE OH
43082-2301
US

V. Phone/Fax

Practice location:
  • Phone: 614-296-4941
  • Fax: 614-808-4695
Mailing address:
  • Phone: 614-296-4941
  • Fax: 614-808-4695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. PATRICIA BAILEY
Title or Position: CEO
Credential: PHD PMHNP-BC
Phone: 614-296-4941