Organization
PRISMA WELLNESS OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT WIENER MD (MEDICAL DIRECTOR)
(206) 939-1079
Entity
Organization
Contact information
Practice address
5080 BRADENTON AVE STE D, DUBLIN, OH 43017-7582
(206) 785-1015
(206) 785-1023
Mailing address
1041 COTTONTAIL LN, MAITLAND, FL 32751-6309
(206) 939-1079
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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