Provider Demographics
NPI:1730556069
Name:NUNEZ, MOLLEE (LISW-S)
Entity type:Individual
Prefix:
First Name:MOLLEE
Middle Name:
Last Name:NUNEZ
Suffix:
Gender:
Credentials:LISW-S
Other - Prefix:
Other - First Name:MOLLEE
Other - Middle Name:
Other - Last Name:GALLOWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:444 BUTTERFLY GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3427
Mailing Address - Country:US
Mailing Address - Phone:614-938-6777
Mailing Address - Fax:
Practice Address - Street 1:444 BUTTERFLY GARDENS DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3427
Practice Address - Country:US
Practice Address - Phone:614-722-1800
Practice Address - Fax:614-722-9069
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.2103048-SUPV1041C0700X
OHS.1501317104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1473276Medicaid