| Prisma Wellness Ohio Llc | |
|
5080 Bradenton Ave Ste D Dublin OH 43017-7582 | |
| (206) 785-1015 | |
| (206) 785-1023 |
| Full Name | Prisma Wellness Ohio Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5080 Bradenton Ave Ste D, Dublin, Ohio |
| Authorized Official Name and Position | Scott Wiener (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2069391079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prisma Wellness Ohio Llc 1041 Cottontail Ln Maitland FL 32751-6309 Ph: (206) 939-1079 | Prisma Wellness Ohio Llc 5080 Bradenton Ave Ste D Dublin OH 43017-7582 Ph: (206) 785-1015 |
| NPI Number | 1962298125 |
|---|---|
| Provider Enumeration Date | 04/15/2025 |
| Last Update Date | 04/15/2025 |
| Certification Date | 04/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962298125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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