Organization
COMMUNITY WELLNESS AND INTERVENTION
Active
Other names
COMMUNITY OHIO
Organization subpart
No
Provider details
NPI number
Authorized official
SHEONKEI M GIVNER (EXECUTIVE DIRECTOR)
(216) 278-1292
Entity
Organization
Contact information
Practice address
3433 AGLER RD STE 2000, COLUMBUS, OH 43219-3397
(216) 278-1292
Mailing address
3433 AGLER RD STE 2000, COLUMBUS, OH 43219-3397
(216) 278-1292
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
163WC0400X
Case Management Registered Nurse
—
—
163WC1500X
Community Health Registered Nurse
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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