Provider Demographics
NPI:1235895210
Name:OHIO PARENTING COLLABORATIVE
Entity Type:Organization
Organization Name:OHIO PARENTING COLLABORATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AUTUMN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:812-593-0635
Mailing Address - Street 1:5280 TOWNSHIP ROAD 179
Mailing Address - Street 2:
Mailing Address - City:CARDINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43315-9226
Mailing Address - Country:US
Mailing Address - Phone:812-593-0635
Mailing Address - Fax:
Practice Address - Street 1:5280 TOWNSHIP ROAD 179
Practice Address - Street 2:
Practice Address - City:CARDINGTON
Practice Address - State:OH
Practice Address - Zip Code:43315-9226
Practice Address - Country:US
Practice Address - Phone:812-593-0635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-13
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty