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Organization

HART SOUL & MIND HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CONSTANCE R HARTGROVE APRN (APRN)
(614) 306-4477
Entity
Organization

Contact information

Practice address
4770 INDIANOLA AVE STE 210, COLUMBUS, OH 43214-1862
(614) 306-4477
(614) 862-0837
Mailing address
4770 INDIANOLA AVE STE 210, COLUMBUS, OH 43214-1862
(614) 306-4477
(614) 862-0837

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
06/19/2024
Last updated
06/21/2026
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