J&A Health And Wellness Services, LLC
Clinic/Center, Adult Mental Health in Beavercreek, OH. Organization (NPI-2).
NPI number1992421523
StatusActive
Last updated in NPPESMar 25, 2026
Details
- NPI
- 1992421523
- Entity type
- Organization (NPI-2)
- Legal business name
- J&A Health And Wellness Services, LLC
- Organization subpart
- No
- Enumeration date
- Oct 14, 2022
- Certification date
- Mar 25, 2026
- Last updated
- Mar 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- Southwest Ohio Ketamine And IV Therapy Center (Doing Business As)
Practice location
1370 N Fairfield Rd Ste DBeavercreek, OH 45432-2681
Phone 937-912-5155 · Fax 937-912-5159
Mailing address
1370 N Fairfield Rd Ste DBeavercreek, OH 45432-2681
Phone 937-912-5155 · Fax 937-912-5159
Authorized official
Jason Marchant
President
9379125155
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