# INNOVATIVE WELLNESS CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194446237
- **Authorized official:** MS. PEG DUNTEMAN (CREDENTIALING)
- **Authorized official phone:** (630) 770-3800

## Contact information

- **Practice address:** 7100 N HIGH STREET, SUITE 201, WORTHINGTON, OH 43085-2316
- **Practice address phone:** (614) 601-6272
- **Practice address fax:** (614) 601-6291
- **Mailing address:** 7100 N HIGH STREET, SUITE 201, WORTHINGTON, OH 43085-2316
- **Mailing address phone:** (614) 601-6272
- **Mailing address fax:** (614) 601-6291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2022
- **Last updated:** 09/07/2022
