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Organization

ENLIVEN HEALTH AND WELLNESS LLC

Active
Find providers by NPI
Organization

ENLIVEN HEALTH AND WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL WAGNER (OWNER)
(614) 218-8769
Entity
Organization

Contact information

Practice address
929 HARRISON AVE STE 304, COLUMBUS, OH 43215-1346
(614) 218-8769
Mailing address
929 HARRISON AVE STE 304, COLUMBUS, OH 43215-1346
(614) 218-8769

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TH0004X
Health Psychologist
—
NULL
103TH0004X
Health Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
133VN1301X
Oncology Nutrition Registered Dietitian
—
NULL
133VN1301X
Oncology Nutrition Registered Dietitian
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
NULL
207RX0202X
Medical Oncology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—

Other

Enumeration date
07/31/2021
Last updated
07/31/2021
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