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General NPI Number Information
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NPI Number | 1164230314
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Entity Type | Organization
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Legal Business Name | IVY'S HEALING PATH MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 3152 OXFORD TRENTON RD
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City | OXFORD
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State | OH
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Zip | 45056-9366
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Country | US
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Telephone | 513-675-7203
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Fax |
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Provider Business Mailing Address
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Address Line | 8465 COLERAIN AVE STE 1072
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City | CINCINNATI
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State | OH
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Zip | 45239-3926
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Country | US
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Telephone | 513-676-0059
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. CIARA MONIQUE MERRIWEATHER
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Credential | DNP, PMHNP-BC, FNP-C
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Telephone | 513-675-7203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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