Organization
FIRST LIGHT WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KYEI (PRACTICE OWNER)
(513) 629-0040
Entity
Organization
Contact information
Practice address
6463 PROPRIETORS RD STE 201, WORTHINGTON, OH 43085-3263
(513) 629-0040
Mailing address
6463 PROPRIETORS RD STE 201, WORTHINGTON, OH 43085-3263
(513) 629-0040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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