| Origin Mental Wellness Llc | |
|
150 E Main St Columbus OH 43215-5269 | |
| (614) 589-7837 | |
| Not Available |
| Full Name | Origin Mental Wellness Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 150 E Main St, Columbus, Ohio |
| Authorized Official Name and Position | Tenia Scarver (OWNER) |
| Authorized Official Contact | 9376896912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Origin Mental Wellness Llc 150 E Main St Columbus OH 43215-5269 Ph: (614) 589-7837 | Origin Mental Wellness Llc 150 E Main St Columbus OH 43215-5269 Ph: (614) 589-7837 |
| NPI Number | 1265261978 |
|---|---|
| Provider Enumeration Date | 07/31/2024 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265261978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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