Organization
PURE HEART THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA I BYRD MFT (OWNER)
(614) 321-9064
Entity
Organization
Contact information
Practice address
6249 UPPERRIDGE DR, CANAL WNCHSTR, OH 43110-9196
(614) 321-9064
Mailing address
6249 UPPERRIDGE DR, CANAL WNCHSTR, OH 43110-9196
(614) 321-9064
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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