Healthcare Provider Details

I. General information

NPI: 1124363882
Provider Name (Legal Business Name): REMEMBER YOU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2012
Last Update Date: 12/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 HIGH ST STE 14
WORTHINGTON OH
43085-4165
US

IV. Provider business mailing address

8383 FIDELITY RD
COLUMBUS OH
43235-1506
US

V. Phone/Fax

Practice location:
  • Phone: 614-785-6837
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.0007922 SUPV
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.010793
License Number StateOH

VIII. Authorized Official

Name: SHANI TOPOLOSKY
Title or Position: OWNER
Credential: LISW-S, LMT
Phone: 614-657-8434