Provider Demographics
NPI:1457091209
Name:INNATE STRENGTH HEALTHCARE
Entity Type:Organization
Organization Name:INNATE STRENGTH HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MCKINZI
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:614-758-8078
Mailing Address - Street 1:PO BOX 1181
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-1181
Mailing Address - Country:US
Mailing Address - Phone:614-758-8078
Mailing Address - Fax:
Practice Address - Street 1:527 NORTHRIDGE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3331
Practice Address - Country:US
Practice Address - Phone:937-260-7172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty