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General NPI Number Information
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NPI Number | 1336062629
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Entity Type | Organization
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Legal Business Name | LIVING HEALTH INTEGRATIVE PSYCH, LLC
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 145 REYNOLDSBURG NEW ALBANY RD # 300
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City | BLACKLICK
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State | OH
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Zip | 43004-3608
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Country | US
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Telephone | 614-842-2871
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Fax | 321-204-6942
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Provider Business Mailing Address
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Address Line | 145 REYNOLDSBURG NEW ALBANY RD # 300
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City | BLACKLICK
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State | OH
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Zip | 43004-3608
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Country | US
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Telephone | 614-842-2871
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Fax | 321-204-6942
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | FELISA NORTHERN
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Credential | DNP, FNP-C, PMHNP-BC
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Telephone | 614-482-2871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 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 #3
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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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