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
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
02/06/2024
Last updated
06/04/2024
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