Organization · NPI-2
Living Health Integrative Psych, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Blacklick, OH
NPI number1336062629
StatusActive
Last updated in NPPESAug 3, 2026
Details
- NPI
- 1336062629
- Entity type
- Organization (NPI-2)
- Legal business name
- Living Health Integrative Psych, LLC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2026
- Certification date
- Aug 3, 2026
- Last updated
- Aug 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
145 Reynoldsburg New Albany Rd # 300Blacklick, OH 43004-3608
Phone 614-842-2871 · Fax 321-204-6942
Mailing address
145 Reynoldsburg New Albany Rd # 300Blacklick, OH 43004-3608
Phone 614-842-2871 · Fax 321-204-6942
Authorized official
Felisa Northern
Managing Member
6144822871
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