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NPI Code Detail

MEDICARE: DAY ONE INTEGRATIVE SERVICES LLC.

MEDICARE: DAY ONE INTEGRATIVE SERVICES LLC.
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
1106H00000XMarriage & Family Therapist
2101YP2500XProfessional Counselor
3364SP0809XAdult Psychiatric/Mental Health Clinical Nurse Specialist
4101YA0400XAddiction (Substance Use Disorder) Counselor
5364SP0812XCommunity Psychiatric/Mental Health Clinical Nurse Specialist
6163WA0400XAddiction (Substance Use Disorder) Registered Nurse
7251B00000XCase Management Agency
82084P0802XAddiction Psychiatry Physician
9261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
10101YM0800XMental Health Counselor
11324500000XSubstance Abuse Rehabilitation Facility
12261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)
13164W00000XLicensed Practical Nurse
14261QP2300XPrimary Care Clinic/Center
15251S00000XCommunity/Behavioral Health Agency

Other Identifiers

General Provider Information

NPI Number : 1306332564
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAY ONE INTEGRATIVE SERVICES LLC.
Provider Business Mailing Address
First Line : 827 N MAIN ST
Second Line :
City : MARION
State : OH
Zip : 43302-1736
Country : US
Telephone Number : 740-914-5000
Fax Number : 740-914-5005
Provider Business Practice Location Address
First Line : 827 N MAIN ST
Second Line :
City : MARION
State : OH
Zip : 43302-1736
Country : US
Telephone Number : 740-914-5000
Fax Number : 740-914-5005
Authorized Official
Title or Position : OWNER
Name : NATHAN DAVENPORT
Credential :
Telephone Number : 859-620-2526
Provider Enumeration Date : 07/10/2018
Last Update Date : 06/04/2026

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