MEDICARE: AD MELIORA THERAPY, 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1366328908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AD MELIORA THERAPY, LLC

Provider Business Mailing Address
First Line	:	5444 ROHDEN DR
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-9121
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1016 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-2567
Country	:	US
Telephone Number	:	614-330-7658
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MRS. CHAHDAEL FOREMAN
Credential	:	LISW, PMH-C
Telephone Number	:	567-225-1807

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	01/28/2026

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