# DANIEL FUNK PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Headway Telepsychriatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871453506
- **Authorized official:** DANIEL FUNK PMHNP (OWNER)
- **Authorized official phone:** (380) 222-4327

## Contact information

- **Practice address:** 163 WINNER AVE, COLUMBUS, OH 43203-1656
- **Practice address phone:** (382) 222-4327
- **Practice address fax:** (470) 227-8522
- **Mailing address:** 163 WINNER AVE, COLUMBUS, OH 43203-1656
- **Mailing address phone:** (382) 222-4327
- **Mailing address fax:** (470) 227-8522

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2025
- **Last updated:** 11/14/2025