Third Eye Therapy & Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THIRD EYE THERAPY & WELLNESS LLC

Practice address

3937 Cedar Crest LN
Columbus, OH 43230-6376

Phone

(614) 657-8185

NPI assigned

Dec 18, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tanisha RichardsonNPI 1881177392

Title

Owner, Lisw

Phone

(614) 657-8185

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanisha Richardson, LISW

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1881177392
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1164290250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SILVER SPRING AVE APT 604",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 CEDAR CREST LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432306376",
            "telephone_number": "614-657-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD EYE THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "OWNER, LISW",
        "authorized_official_telephone_number": "614-657-8185"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Thiel, NNP
• Shelly L Thigpen, QMHSIII
• Joni Thilavong, RDN
• Sarah Catherine Thimmes, M.A., CCC-SLP
• Think Make Live Youth
• Mohan K Thirugnanam, M.D.
• Abirami Thiyagarajan, MD
• Heather Cathleen Thobe, LPCC-S
• Jason Derek Thoburn
• Thomas a. McMahon, D.C. & Company, L.P.a.

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.