Providers For Healthy Living
Psychiatry & Neurology, Psychiatry in Columbus, OH. Organization (NPI-2).
NPI number1083905830
StatusActive
Last updated in NPPESAug 24, 2023
Details
- NPI
- 1083905830
- Entity type
- Organization (NPI-2)
- Legal business name
- Providers For Healthy Living
- Organization subpart
- No
- Enumeration date
- Apr 27, 2011
- Certification date
- Aug 24, 2023
- Last updated
- Aug 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
8351 N High St Ste 155Columbus, OH 43235-1409
Phone 614-664-3595 · Fax 614-664-3595
Mailing address
8351 N High St Ste 155Columbus, OH 43235-1409
Phone 614-664-3595 · Fax 614-664-3595
Authorized official
Matthew Lowe
Psychiatrist
6146643595
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