Provider Demographics
NPI:1174893309
Name:EQUINE PARTNERS UNLIMITED, INC.
Entity type:Organization
Organization Name:EQUINE PARTNERS UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BULSON
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:614-565-7031
Mailing Address - Street 1:7207 YOUNG RD
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-9045
Mailing Address - Country:US
Mailing Address - Phone:614-273-9918
Mailing Address - Fax:
Practice Address - Street 1:7207 YOUNG RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-9045
Practice Address - Country:US
Practice Address - Phone:614-273-9918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS0017142104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty