| Columbus Diamonds Elite Cheer | |
|
3370 E 5th Ave Columbus OH 43219-1731 | |
| (614) 597-9161 | |
| Not Available |
| Full Name | Columbus Diamonds Elite Cheer |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3370 E 5th Ave, Columbus, Ohio |
| Authorized Official Name and Position | Tyeisha Parks (OWNER) |
| Authorized Official Contact | 6145979161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Diamonds Elite Cheer 5679 Sutterton Ln Westerville OH 43081-5230 Ph: (614) 597-9161 | Columbus Diamonds Elite Cheer 3370 E 5th Ave Columbus OH 43219-1731 Ph: (614) 597-9161 |
| NPI Number | 1376377432 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376377432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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