Provider Demographics
NPI:1831906494
Name:PARENTING DIFFERENCES, LLC
Entity type:Organization
Organization Name:PARENTING DIFFERENCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNDT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:614-321-5132
Mailing Address - Street 1:418 WHITLEY DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3635
Mailing Address - Country:US
Mailing Address - Phone:614-321-5132
Mailing Address - Fax:
Practice Address - Street 1:418 WHITLEY DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-3635
Practice Address - Country:US
Practice Address - Phone:614-321-5132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)