Organization
HOLISTIC PSYCHIATRY AND ANTI-AGING MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA SUE RINGS (OFFICE MANAGER)
(614) 596-8599
Entity
Organization
Contact information
Practice address
2939 KENNY RD, SUITE 180, COLUMBUS, OH 43221-2406
(740) 403-2672
(614) 457-0834
Mailing address
2939 KENNY RD, SUITE 180, COLUMBUS, OH 43221-2406
(740) 403-2672
(614) 457-0834
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35.044652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710077664
EIN
OH
Enumeration date
11/12/2010
Last updated
03/09/2011
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