# ORIGIN MENTAL WELLNESS LLC

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

## Provider details

- **NPI number:** 1265261978
- **Authorized official:** TENIA SCARVER PMHNP (OWNER)
- **Authorized official phone:** (937) 689-6912

## Contact information

- **Practice address:** 150 E MAIN ST, COLUMBUS, OH 43215-5269
- **Practice address phone:** (614) 589-7837
- **Mailing address:** 150 E MAIN ST, COLUMBUS, OH 43215-5269
- **Mailing address phone:** (614) 589-7837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2024
- **Last updated:** 07/31/2024