# MINDFUL RETREAT

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

## Provider details

- **NPI number:** 1235938440
- **Authorized official:** SHARION DALAINE BROWN JONES (NURSE PRACTITIONER)
- **Authorized official phone:** (216) 269-6202

## Contact information

- **Practice address:** 2939 KENNY RD STE 125, COLUMBUS, OH 43221-2467
- **Practice address phone:** (614) 300-7976
- **Mailing address:** 3986 SWEET SHADOW AVE, COLUMBUS, OH 43230-7399
- **Mailing address phone:** (614) 300-7976
- **Mailing address fax:** (614) 300-7976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2025
- **Last updated:** 06/15/2026
