| Rainbow Of Resilience Llc | |
|
1247 Arkwood Ave Columbus OH 43227-2006 | |
| (614) 584-0765 | |
| Not Available |
| Full Name | Rainbow Of Resilience Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1247 Arkwood Ave, Columbus, Ohio |
| Authorized Official Name and Position | Danielle Haynes (CEO) |
| Authorized Official Contact | 6145840765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainbow Of Resilience Llc 3850 E Livingston Ave Po Box 27183 Columbus OH 43227-2006 Ph: (614) 584-0765 | Rainbow Of Resilience Llc 1247 Arkwood Ave Columbus OH 43227-2006 Ph: (614) 584-0765 |
| NPI Number | 1457948648 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/19/2021 |
| Medicare PECOS PAC ID | 9234546524 |
|---|---|
| Medicare Enrollment ID | O20210405000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457948648 | NPI | - | NPPES |
| 0260254 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Danielle Haynes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982130845 PECOS PAC ID: 9133496177 Enrollment ID: I20170523002785 |
| Provider Name | Felicia Phelps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962624163 PECOS PAC ID: 8022477231 Enrollment ID: I20230706002554 |
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