Provider Demographics
NPI:1568975795
Name:UNIFIED HEALTH & WELLNESS
Entity Type:Organization
Organization Name:UNIFIED HEALTH & WELLNESS
Other - Org Name:STANDING STONE FAMILY PRACTICE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:614-389-3814
Mailing Address - Street 1:7243 SAWMILL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-5005
Mailing Address - Country:US
Mailing Address - Phone:614-389-3814
Mailing Address - Fax:514-389-3841
Practice Address - Street 1:7243 SAWMILL RD STE 105
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-5005
Practice Address - Country:US
Practice Address - Phone:614-389-3814
Practice Address - Fax:614-389-3841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X, 363LP0808X
OHAPRN15910NP207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F0514404OtherAANC BOARD CERTIFICATION - FAMILY NURSE PRACTITIONER
OH0257860Medicaid
OH0104001Medicaid
OHAPRN.CNP.15910OtherLICENSE
2013008374OtherANCC BOARD CERTIFICATION ADULT PSYCH MENTAL HEALTH NURSE PRACTITIONER
2013008374OtherANCC BOARD CERTIFICATION ADULT PSYCH MENTAL HEALTH NURSE PRACTITIONER