Organization
360 LIFESTYLE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIANA Q A JOHNSON M.A. (OWNER)
(614) 402-3996
Entity
Organization
Contact information
Practice address
470 W BROAD ST # 1110, COLUMBUS, OH 43215-2759
(614) 402-3996
Mailing address
403 TAYLOR AVE, COLUMBUS, OH 43203-1224
(614) 402-3996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
05/15/2024
Last updated
02/22/2026
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