Organization
ORIGIN MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENIA SCARVER PMHNP (OWNER)
(937) 689-6912
Entity
Organization
Contact information
Practice address
150 E MAIN ST, COLUMBUS, OH 43215-5269
(614) 589-7837
Mailing address
150 E MAIN ST, COLUMBUS, OH 43215-5269
(614) 589-7837
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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