Provider Demographics
NPI:1538960950
Name:RHIZOME THERAPY COOPERATIVE
Entity type:Organization
Organization Name:RHIZOME THERAPY COOPERATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST, FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:NERN
Authorized Official - Middle Name:EARNEST
Authorized Official - Last Name:OSTENDORF
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:513-205-3059
Mailing Address - Street 1:605 BURNS ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45204-1942
Mailing Address - Country:US
Mailing Address - Phone:513-205-3059
Mailing Address - Fax:
Practice Address - Street 1:611 BURNS ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45204
Practice Address - Country:US
Practice Address - Phone:513-409-0808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health