Provider Demographics
NPI:1114608668
Name:INSIDE OUT, UNLIMITED
Entity Type:Organization
Organization Name:INSIDE OUT, UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-353-6442
Mailing Address - Street 1:7647 SCHNEIDER WAY
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-6034
Mailing Address - Country:US
Mailing Address - Phone:614-353-6442
Mailing Address - Fax:614-221-5360
Practice Address - Street 1:400 E MOUND ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5513
Practice Address - Country:US
Practice Address - Phone:614-353-6442
Practice Address - Fax:614-221-5360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency