Organization
EARTHSIDE HEALTH AND WELLNESS LLC
Active
Other names
Earthside Health and Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR SCHROEDER CNP, PMHNP-BC (OWNER)
(513) 305-9093
Entity
Organization
Contact information
Practice address
5340 RAPID RUN RD STE 8, CINCINNATI, OH 45238-4260
(513) 506-0345
(513) 880-0764
Mailing address
5340 RAPID RUN RD STE 8, CINCINNATI, OH 45238-4260
(513) 506-0345
(513) 880-0764
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477169258
TAYLOR SCHROEDER
OH
Enumeration date
12/29/2022
Last updated
05/09/2024
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