| Pure Heart Therapeutic Services, Llc | |
|
6249 Upperridge Dr Canal Wnchstr OH 43110-9196 | |
| (614) 321-9064 | |
| Not Available |
| Full Name | Pure Heart Therapeutic Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6249 Upperridge Dr, Canal Wnchstr, Ohio |
| Authorized Official Name and Position | Shana I Byrd (OWNER) |
| Authorized Official Contact | 6143219064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Heart Therapeutic Services, Llc 6249 Upperridge Dr Canal Wnchstr OH 43110-9196 Ph: (614) 321-9064 | Pure Heart Therapeutic Services, Llc 6249 Upperridge Dr Canal Wnchstr OH 43110-9196 Ph: (614) 321-9064 |
| NPI Number | 1528896503 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528896503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |