Sylvie Wellness Center LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SYLVIE WELLNESS CENTER LLC

Practice address

25 Clevenger CT
Springboro, OH 45066-7425

Phone

(937) 558-5100

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Sullivan

Title

Credentialing Speciaist

Phone

(440) 453-0754

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sylvie Inshuti Sibomana, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Moraine, OH
  • NPI 1841746120
  Medicare reassignment NPD

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1457116725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CLEVENGER CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667425",
            "telephone_number": "937-558-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CLEVENGER CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667425",
            "telephone_number": "937-558-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVIE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIAIST",
        "authorized_official_telephone_number": "440-453-0754"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Steele, M.S. LPCC-S
• Kaitlyn Stephens
• Diana L Stevens, LPN
• Jeanne Strickland
• Kristy M Summers, LCDCIII
• Tapestry Springboro Senior Housing Management, LLC
• Ashley Marie Taylor, LISW
• Terrell Cemden Medical Consulting, LLC
• Thinkpt, LLC
• Dasina Thomas, LSW

• Multi-Specialty Clinic/Center in Springboro, OH
• Providers in Springboro, OH by specialty
• Multi-Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.