Organization
OVATIENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DALTON (CEO)
(216) 410-1413
Entity
Organization
Contact information
Practice address
68 PRESIDENT ST, CHARLESTON, SC 29425-0001
(843) 400-1842
Mailing address
2150 W 117TH ST STE 1238, CLEVELAND, OH 44111-1641
(216) 800-4784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TH0004X
Health Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/11/2025
Last updated
10/28/2025
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