MEDICARE: DINERO ROMELL WHITESIDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1053279844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINERO ROMELL WHITESIDE

Provider Business Mailing Address
First Line	:	1864 BAIRSFORD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-9200
Country	:	US
Telephone Number	:	614-353-0280
Fax Number	:

Provider Business Practice Location Address
First Line	:	1864 BAIRSFORD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-9200
Country	:	US
Telephone Number	:	614-353-0280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ DINERO ROMELL WHITESIDE ” Practice Location

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