# CALVARY FAMILY PRACTICE AND MENTAL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Calvary Family and Mental Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083491419
- **Authorized official:** MAGDALENE I EDO FNP/PMHNP-BC (CERTIFIED NURSE PRACTITIONER)
- **Authorized official phone:** (740) 415-6416

## Contact information

- **Practice address:** 105 EGRET CT, PICKERINGTON, OH 43147-3403
- **Practice address phone:** (740) 415-6416
- **Practice address fax:** (614) 321-4161
- **Mailing address:** 341 S 3RD ST, COLUMBUS, OH 43215-5463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2023
- **Last updated:** 09/02/2025