| Lifewrx Ohio | |
|
1120 Polaris Pkwy Ste 204 Columbus OH 43240-4042 | |
| (614) 347-9837 | |
| (614) 559-9758 |
| Full Name | Lifewrx Ohio |
|---|---|
| Speciality | Counselor |
| Location | 1120 Polaris Pkwy Ste 204, Columbus, Ohio |
| Authorized Official Name and Position | David D Bowers (OWNER) |
| Authorized Official Contact | 6193479963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifewrx Ohio 1120 Polaris Pkwy Ste 204 Columbus OH 43240-4042 Ph: (614) 347-9837 | Lifewrx Ohio 1120 Polaris Pkwy Ste 204 Columbus OH 43240-4042 Ph: (614) 347-9837 |
| NPI Number | 1609490721 |
|---|---|
| Provider Enumeration Date | 06/04/2020 |
| Last Update Date | 06/26/2025 |
| Certification Date | 06/26/2025 |
| Medicare PECOS PAC ID | 4183068141 |
|---|---|
| Medicare Enrollment ID | O20240216004157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609490721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Provider Name | Kerri Pearch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942662010 PECOS PAC ID: 8426340159 Enrollment ID: I20160715001657 |
| Provider Name | David Bowers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841752540 PECOS PAC ID: 5092159053 Enrollment ID: I20240216004193 |
| Provider Name | Davina Carolyn Adams-jackson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356845143 PECOS PAC ID: 4284165663 Enrollment ID: I20241009003435 |
| Provider Name | Cheryl Harstine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396442786 PECOS PAC ID: 9234662719 Enrollment ID: I20241023002484 |
| Provider Name | Haley M Kiser |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487341368 PECOS PAC ID: 8921523168 Enrollment ID: I20250421000598 |
| Provider Name | Amber Friscia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174016638 PECOS PAC ID: 3971018672 Enrollment ID: I20250711003412 |
| Provider Name | Alysha Kirschner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841941531 PECOS PAC ID: 0345725636 Enrollment ID: I20260403002219 |
| Provider Name | Madeline Martin Penland |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740959865 PECOS PAC ID: 5294201000 Enrollment ID: I20260420001283 |
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