Organization
REDEFINED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE SANDERS PHD (PRESIDENT)
(614) 655-4300
Entity
Organization
Contact information
Practice address
6432 E MAIN ST STE 101, REYNOLDSBURG, OH 43068-2368
(614) 655-4300
Mailing address
PO BOX 182, PICKERINGTON, OH 43147-0182
(614) 655-4300
(614) 695-5300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
08/13/2026
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