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Organization
EARTHSIDE HEALTH AND WELLNESS LLC
Active
Organization
EARTHSIDE HEALTH AND WELLNESS LLC
Active
Other names
Earthside Health and Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR SCHROEDER CNP, PMHNP-BC (OWNER)
(513) 305-9093
Entity
Organization
Contact information
Practice address
5340 RAPID RUN RD STE 8, CINCINNATI, OH 45238-4260
(513) 506-0345
(513) 880-0764
Mailing address
5340 RAPID RUN RD STE 8, CINCINNATI, OH 45238-4260
(513) 506-0345
(513) 880-0764
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
05/09/2024
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