# EARTHSIDE HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Earthside Health and Wellness LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982317442
- **Authorized official:** TAYLOR SCHROEDER CNP, PMHNP-BC (OWNER)
- **Authorized official phone:** (513) 305-9093

## Contact information

- **Practice address:** 5340 RAPID RUN RD STE 8, CINCINNATI, OH 45238-4260
- **Practice address phone:** (513) 506-0345
- **Practice address fax:** (513) 880-0764
- **Mailing address:** 5340 RAPID RUN RD STE 8, CINCINNATI, OH 45238-4260
- **Mailing address phone:** (513) 506-0345
- **Mailing address fax:** (513) 880-0764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2022
- **Last updated:** 05/09/2024