Organization
FLAWSME BY LUCY EUSTACIA
Active
Other names
Flawsme by Lucy Eustacia
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY GALES LPN (FOUNDER)
(740) 974-2963
Entity
Organization
Contact information
Practice address
4637 COLERIDGE CT, COLUMBUS, OH 43232-5117
(740) 974-2963
Mailing address
4637 COLERIDGE CT, COLUMBUS, OH 43232-5117
(740) 974-2963
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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