| NPI | 1811711385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE EA STUCKEY Owner 614-638-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 133N00000X Nutritionist | |
| 171400000X Health & Wellness Coach | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2025-08-18 |