# COLBERT FAMILY HEALTH AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1619295425
- **Authorized official:** MARQUETTA D COLBERT MS,APRN, PMHNP-BC (OWNER)
- **Authorized official phone:** (937) 529-4376

## Contact information

- **Practice address:** 2580 SHILOH SPRINGS RD, DAYTON, OH 45426-2151
- **Practice address phone:** (937) 529-4376
- **Practice address fax:** (937) 529-4538
- **Mailing address:** 2580 SHILOH SPRINGS RD STE B, DAYTON, OH 45426-2100
- **Mailing address phone:** (937) 529-4376
- **Mailing address fax:** (937) 529-4538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | NP-10322 | OH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2010
- **Last updated:** 03/20/2022