Organization
FIGHTING SPIRIT RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAQWA SHAKUR (OWNER OF ENTITY)
(380) 214-3920
Entity
Organization
Contact information
Practice address
670 MERIDIAN WAY, WESTERVILLE, OH 43082-7648
(380) 214-3920
Mailing address
670 MERIDIAN WAY, WESTERVILLE, OH 43082-7648
(380) 214-3920
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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