# GLOVES UP BOXING GYM LLC

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

## Provider details

- **NPI number:** 1568174860
- **Authorized official:** NIA WINFIELD QMHS (OWNER)
- **Authorized official phone:** (614) 900-4621

## Contact information

- **Practice address:** 4300 E BROAD ST, COLUMBUS, OH 43213-1243
- **Practice address phone:** (614) 900-4621
- **Mailing address:** 5254 LINGLE LN, COLUMBUS, OH 43213-7627
- **Mailing address phone:** (614) 900-4621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2022
- **Last updated:** 12/19/2022