| Mind Body Spirit Center For Health | |
|
4701 Olentangy River Rd Suite 200 Columbus OH 43214-1950 | |
| (614) 457-9797 | |
| (614) 442-8208 |
| Full Name | Mind Body Spirit Center For Health |
|---|---|
| Speciality | Psychologist |
| Location | 4701 Olentangy River Rd, Columbus, Ohio |
| Authorized Official Name and Position | Kathie C Shockley (PSYCHOLOGIST) |
| Authorized Official Contact | 6144579797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Spirit Center For Health 4701 Olentangy River Rd Suite 200 Columbus OH 43214-1950 Ph: (614) 457-9797 | Mind Body Spirit Center For Health 4701 Olentangy River Rd Suite 200 Columbus OH 43214-1950 Ph: (614) 457-9797 |
| NPI Number | 1821385576 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 07/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821385576 | NPI | - | NPPES |
| 0308803 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4139 (Ohio) | Primary |
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