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Organization

HOPEWELL MENTAL HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER L WILSON NP (OWNER)
(614) 580-2500
Entity
Organization

Contact information

Practice address
7625 HOSPITAL DR, DUBLIN, OH 43016-9649
(614) 717-1800
(614) 717-1801
Mailing address
PO BOX 1186, WORTHINGTON, OH 43085-1186
(614) 796-0338
(614) 890-5485

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0138900
OH
01
H404550
MEDICARE
OH
Enumeration date
07/23/2015
Last updated
04/05/2018
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